Individual
MELISSA MANICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 TERRACE DR, WESTMINSTER, MD 21157-7927
(631) 428-8777
Mailing address
1615 TERRACE DR, WESTMINSTER, MD 21157-7927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04516
MD
Other
Enumeration date
07/02/2015
Last updated
10/01/2016
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