Individual
MS. DONNA LYNNE HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMMT
Contact information
Practice address
816 6TH AVE, BRUNSWICK, MD 21716-1521
(301) 370-7904
Mailing address
816 6TH AVE, BRUNSWICK, MD 21716-1521
(301) 834-6450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02233
MD
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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