Individual
WENONA RENEE MOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
6831 WISCONSIN AVE # 401, BETHESDA, MD 20815-6122
(301) 346-1720
Mailing address
11036 OUTPOST DR, NORTH POTOMAC, MD 20878-4808
(301) 346-1720
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
R01639
MD
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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