| Ms Nicole Banner, LMT | |
|
811 Russell Ave Ste B, Gaithersburg, MD 20879-3524 | |
| (240) 418-8655 | |
| Not Available |
| Full Name | Ms Nicole Banner |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 811 Russell Ave Ste B, Gaithersburg, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982831061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | M03967 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Banner, LMT 10 Stoney Point Ct, Germantown, MD 20876-5565 Ph: (240) 418-8655 | Ms Nicole Banner, LMT 811 Russell Ave Ste B, Gaithersburg, MD 20879-3524 Ph: (240) 418-8655 |
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