Individual
ADVA NOFAR GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1205 YORK RD STE 36, LUTHERVILLE, MD 21093-6211
(443) 570-4143
Mailing address
9202 HARVEST RUSH RD, OWINGS MILLS, MD 21117-4519
(443) 570-4143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05252
MD
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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