Individual
ELAMBRA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 WASHINGTON AVE STE 290, TOWSON, MD 21204-4516
(410) 989-1717
Mailing address
502 WASHINGTON AVE STE 290, TOWSON, MD 21204-4516
(410) 989-1717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03368
MD
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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