Individual
ELYSIA JANELLE AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
20528 BOLAND FARM RD, SUITE 211, GERMANTOWN, MD 20876-4021
(301) 916-0164
(301) 540-0722
Mailing address
12518 GREAT PARK CIR, #202, GERMANTOWN, MD 20876-5992
(443) 695-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M02103
MD
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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