Individual
MR. KEJUAN MARQUEE' JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13992 BALTIMORE AVE STE 201A, LAUREL, MD 20707-5010
(301) 953-0256
Mailing address
8504 16TH ST APT 504, SILVER SPRING, MD 20910-5913
(202) 926-6086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06684
MD
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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