Individual
SEAN RAPHAELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 FALLSTAFF RD, BALTIMORE, MD 21215-1405
(443) 766-9626
Mailing address
4007 FALLSTAFF RD, BALTIMORE, MD 21215-1405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A4156
MD
225700000X
Massage Therapist
Primary
M04550
MD
Other
Enumeration date
01/13/2015
Last updated
06/30/2024
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