Individual
NICOLE ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 NEWBURY STREET, SUITE A OFFICE E, BALTIMORE, MD 21209
(443) 844-9448
Mailing address
5550 NEWBURY STREET, SUITE A OFFICE E, BALTIMORE, MD 21209
(443) 844-9448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R00652
MD
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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