Individual
KIRA LEE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 14TH ST NW, WASHINGTON, DC 20005-3625
(202) 506-6868
Mailing address
9304 PLAYER DR, LAUREL, MD 20708-3228
(443) 926-4120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02763
MD
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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