Individual
MRS. LATISHA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 OLD FREDERICK RD, CATONSVILLE, MD 21228-1554
(443) 990-1421
Mailing address
8258 BRATTLE RD, PIKESVILLE, MD 21208-2121
(443) 474-7419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05953
MD
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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