Individual
MELINDA J DETTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6300 GEORGETOWN BLVD STE 137-138, ELDERSBURG, MD 21784-6481
(443) 531-5888
Mailing address
6807 AUTUMN VIEW DR, SYKESVILLE, MD 21784-6304
(410) 984-8056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M02011
MD
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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