Individual
IAN STAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 HAMILTON ST STE 205-B, HYATTSVILLE, MD 20782-3961
(301) 741-8075
Mailing address
8978 WATCHLIGHT CT, COLUMBIA, MD 21045-4223
(301) 741-8075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04425
MD
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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