Individual
ANGELA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
603 W PATRICK ST, FREDERICK, MD 21701-4089
(301) 620-1414
Mailing address
603 W PATRICK ST, FREDERICK, MD 21701-4089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06373
MD
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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