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Individual

BRENT CHRISTIAN COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
207 RIDGELY AVE, ANNAPOLIS, MD 21401-1379
(443) 788-1581
Mailing address
207 RIDGELY AVE, ANNAPOLIS, MD 21401-1379
(443) 788-1581

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04943
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M04943
MASSAGE THERAPY LICENSE
MD
Enumeration date
03/13/2020
Last updated
03/13/2020
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