Individual
MRS. BRANDY M RETALLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, DOULA
Contact information
Practice address
22 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2511
(443) 617-6607
Mailing address
22 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2511
(443) 617-6607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
M05698
MD
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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