Individual
MS. CHERYL ANN IMPERATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14411 CHRISMAN HILL DR, BOYDS, MD 20841-9038
(301) 802-0830
Mailing address
14411 CHRISMAN HILL DR, BOYDS, MD 20841-9038
(301) 802-0830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M02818
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M02818
LICENSED MASSAGE THERAPIST, DEPT OF HEALTH AND MENTAL HYGIENE
MD
Enumeration date
05/31/2012
Last updated
05/31/2012
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