Individual
MRS. SOUL CASTELLANOS-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
602 ELKTON BLVD, ELKTON, MD 21921-5424
(443) 553-5989
Mailing address
602 ELKTON BLVD, ELKTON, MD 21921-5424
(443) 553-5989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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