Individual
ELECTA O'LEATHEA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7004 SECURITY BLVD STE 300-A21, WINDSOR MILL, MD 21244-2557
(410) 620-8865
Mailing address
7004 SECURITY BLVD STE 300-A21, WINDSOR MILL, MD 21244-2557
(410) 620-8865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04812
MD
Other
Enumeration date
05/31/2019
Last updated
03/07/2023
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