Individual
MS. BIANCA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
836 RITCHIE HWY, SUITE # 24, SEVERNA PARK, MD 21146-4126
(410) 908-2000
Mailing address
836 RITCHIE HWY, SUITE # 24, SEVERNA PARK, MD 21146-4126
(410) 908-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M03338
MD
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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