Individual
KENNETH WIJESINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
43 OLD SOLOMONS ISLAND RD STE 201, ANNAPOLIS, MD 21401-3852
(240) 718-8767
Mailing address
605 ADMIRAL DR UNIT 304, ANNAPOLIS, MD 21401-8711
(240) 718-8767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06244
MD
225700000X
Massage Therapist
MT135503
TX
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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