Individual
MARTHA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC.
Contact information
Practice address
911 W 36TH ST, BALTIMORE, MD 21211-2445
(410) 570-6542
Mailing address
3019 ELM AVE, BALTIMORE, MD 21211-2721
(410) 570-6542
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
UO166
MD
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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