Individual
EDMUND GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4222 DILLER AVE, BALTIMORE, MD 21206-6308
(410) 842-7270
Mailing address
4222 DILLER AVE, BALTIMORE, MD 21206-6308
(410) 842-7270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M03539
MD
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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