Individual
INETA MARIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
460 AVENTURA CT, GLEN BURNIE, MD 21061-6101
(301) 204-7573
Mailing address
460 AVENTURA CT, GLEN BURNIE, MD 21061-6101
(301) 204-7573
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MO3207
MD
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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