Individual
TANIA BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6422 CHELL RD UNIT B, COLUMBIA, MD 21044-3901
(631) 953-1162
Mailing address
6422 CHELL RD UNIT B, COLUMBIA, MD 21044-3901
(631) 953-1162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02452
MD
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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