Individual
MORINE ANEESAH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CNA
Contact information
Practice address
8894 STANFORD BLVD STE 303, COLUMBIA, MD 21045-5165
(443) 297-9731
Mailing address
8894 STANFORD BLVD STE 303, COLUMBIA, MD 21045-5165
(443) 297-9731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06465
MD
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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