Individual
AMBER PAIGE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMP
Contact information
Practice address
617 MAIN ST, LAUREL, MD 20707-4065
(240) 743-6612
Mailing address
PO BOX 2348, BOWIE, MD 20718-2348
(240) 743-6612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R01478
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R01478
STATE OF MARYLAND
MD
Enumeration date
07/25/2018
Last updated
07/25/2018
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