Individual
MARISSA LYNN MODHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 BEL AIR RD STE 101, BEL AIR, MD 21014-5132
(352) 263-1293
Mailing address
1131 BEL AIR RD STE 101, BEL AIR, MD 21014-5132
(352) 263-1293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05632
MD
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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