Individual
VERNON MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1329 GRESHAM RD, SILVER SPRING, MD 20904-1437
(301) 879-1819
Mailing address
1329 GRESHAM RD, SILVER SPRING, MD 20904-1437
(301) 879-1819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M03790
MD
225700000X
Massage Therapist
MT1077
DC
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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