Individual
MRS. TAMARA MARIA PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12814 SHANK FARM WAY STE D, HAGERSTOWN, MD 21742-2949
(302) 725-9084
Mailing address
12618 ROSENCRANS DR, HAGERSTOWN, MD 21740-1212
(302) 725-9084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT-0015118
DE
225700000X
Massage Therapist
Primary
R03340
MD
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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