Individual
JILL A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
263 W PATRICK ST STE 2, FREDERICK, MD 21701-6910
(301) 693-7639
Mailing address
263 W PATRICK ST STE 2, FREDERICK, MD 21701-6910
(301) 693-7639
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05090
MD
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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