Individual
MS. LEE ANNE BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RYT200
Contact information
Practice address
966 HUNGERFORD DR STE 21A, ROCKVILLE, MD 20850-1741
(301) 762-0564
Mailing address
617 EDMONSTON DR, ROCKVILLE, MD 20851-1040
(301) 762-0416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M02823
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M02823
MARYLAND MASSAGE LICENSE
MD
Enumeration date
06/20/2018
Last updated
06/20/2018
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