Individual
JESSE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6935 WISCONSIN AVE STE 318, BETHESDA, MD 20815-6112
(301) 787-5318
Mailing address
6935 WISCONSIN AVE STE 318, BETHESDA, MD 20815-6112
(301) 787-5318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05901
MD
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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