Individual
REGINA PREVOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1388 PROGRESS WAY, ELDERSBURG, MD 21784-6463
(303) 931-4636
Mailing address
1388 PROGRESS WAY, ELDERSBURG, MD 21784-6463
(432) 481-8544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05841
MD
Other
Enumeration date
03/28/2019
Last updated
03/25/2024
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