Individual
BRYAN HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMP
Contact information
Practice address
6207 S OSBORNE RD, UPPER MARLBORO, MD 20772-3915
(301) 814-1986
Mailing address
6207 S OSBORNE RD, UPPER MARLBORO, MD 20772-3915
(301) 814-1986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03343
MD
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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