Individual
KATHERINE MICHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 ANNAPOLIS RD STE E, ODENTON, MD 21113-1398
(410) 417-7711
Mailing address
2638 APRIL DAWN WAY, GAMBRILLS, MD 21054-1412
(410) 463-7510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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