Individual
MS. MAGGI SOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ATC,CSCS
Contact information
Practice address
228 DUNKIRK RD, BALTIMORE, MD 21212-1811
(410) 382-2895
Mailing address
228 DUNKIRK RD, BALTIMORE, MD 21212-1811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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