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Genice Brown

Massage Therapist in Ellicott City, MD. Individual provider (NPI-1).

NPI number1780129593
StatusActive
Last updated in NPPESJan 3, 2017

Details

NPI
1780129593
Entity type
Individual (NPI-1)
Name
Genice Brown
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2017
Last updated
Jan 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistR00626MDYes

Practice location

8086 Main St
Ellicott City, MD 21043-4617

Phone 410-480-5101 · Fax 410-465-3571

Mailing address

8086 Main St
Ellicott City, MD 21043-4617

Phone 410-480-5101 · Fax 410-465-3571

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