Individual
AVIS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12924 SWEET CHRISTINA CT, UPPER MARLBORO, MD 20772-5261
(202) 403-7522
Mailing address
12924 SWEET CHRISTINA CT, UPPER MARLBORO, MD 20772-5261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2000063
DC
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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