Individual
MS. ALIYA YASMEEN BASKERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1047 S CHARLES ST, BALTIMORE, MD 21230-4007
(862) 703-0114
Mailing address
1047 S CHARLES ST, BALTIMORE, MD 21230-4007
(862) 703-0114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04636
MD
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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