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Individual

ELIZABETH KATHLENE GOUSHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
7922 BELRIDGE RD APT D, NOTTINGHAM, MD 21236-3615
(443) 994-7423
Mailing address
7922 BELRIDGE RD APT D, NOTTINGHAM, MD 21236-3615
(443) 994-7423

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05823
MD

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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