Individual
STACY-ANN MELISSA CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 SUPERIOR LN STE A5, BOWIE, MD 20715-1939
(240) 459-4287
Mailing address
3231 SUPERIOR LN STE A5, BOWIE, MD 20715-1939
(240) 459-4287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M07086
MD
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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