Individual
STACY PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 EMMORTON RD, BEL AIR, MD 21014-5469
(410) 399-2225
Mailing address
1035 EMMORTON RD, BEL AIR, MD 21014-5469
(410) 399-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05312
MD
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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