Individual
TONITA HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
692B RITCHIE HWY STE 104, SEVERNA PARK, MD 21146-3971
(443) 254-4385
Mailing address
438 VINTON LN, SEVERNA PARK, MD 21146-2919
(443) 254-4385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05894
MD
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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