Individual
MS. CHEVONNE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT, MMP
Contact information
Practice address
345 MAIN ST, LAUREL, MD 20707-7116
(240) 547-9144
(240) 599-9144
Mailing address
PO BOX 853, SAVAGE, MD 20763-0853
(240) 547-9144
(240) 599-9144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04080
MD
Other
Enumeration date
07/11/2011
Last updated
04/26/2013
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