Individual
MARLENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 THOMAS JOHNSON DR STE 203L, FREDERICK, MD 21702-4537
(240) 621-2160
Mailing address
10326 QUILLBACK ST, NEW MARKET, MD 21774-3001
(240) 481-2001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019019925
VA
225700000X
Massage Therapist
Primary
M06664
MD
225700000X
Massage Therapist
MT200001388
DC
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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