Individual
TAMMY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8813 WALTHAM WOODS RD STE 102, PARKVILLE, MD 21234-2550
(410) 617-8532
Mailing address
4433 FOREST VIEW AVE, BALTIMORE, MD 21206-1916
(443) 640-5674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05206
MD
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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