Individual
ALEX MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 GATEWAY DR, SUITE 5A, BEL AIR, MD 21014
(443) 902-5304
Mailing address
260 GATEWAY DR, SUITE 5A, BEL AIR, MD 21014
(443) 902-5304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05398
MD
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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