Individual
BARRY JACOB KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3316 MANORWOOD DR, HYATTSVILLE, MD 20782-3164
(301) 332-8261
Mailing address
3316 MANORWOOD DR, HYATTSVILLE, MD 20782-3164
(301) 332-8261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M03504
MD
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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