Individual
KRISTIE MINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3913 BISHOPMILL PL, UPPER MARLBORO, MD 20772-3414
(301) 580-3599
Mailing address
3913 BISHOPMILL PL, UPPER MARLBORO, MD 20772-3414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05161
MD
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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