Individual
JANA BENICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMT, CMMP
Contact information
Practice address
15717 CRABBS BRANCH WAY # 227, ROCKVILLE, MD 20855-6650
(205) 336-1115
Mailing address
6 GREAT PINES CT, ROCKVILLE, MD 20850-3147
(240) 264-0986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MO5655
MD
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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