Individual
MAXINE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 THERESA LN, BALTIMORE, MD 21227-3554
(301) 642-7436
Mailing address
2725 THERESA LN, BALTIMORE, MD 21227-3554
(301) 642-7436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04872
MD
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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