Individual
LESLIE MARK HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7949 TOWER COURT RD, SEVERN, MD 21144-1503
(443) 432-5529
Mailing address
PO BOX 118, FORT GEORGE G MEADE, MD 20755-0118
(443) 432-5529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05747
MD
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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