Individual
YUYUN PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5054 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7795
(410) 305-9031
Mailing address
11 JACKSON AVE, GLEN BURNIE, MD 21061-2912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05972
MD
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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