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Tomsene Johnetta Blake
Massage Therapist in Bowie, Maryland
NPI 1609480342

Tomsene Johnetta Blake is a Massage Therapist based in Largo, MD. Tomsene Johnetta Blake practices in Bowie, MD. The NPI Number for Tomsene Johnetta Blake is 1609480342 and holds a License No. M01119 (Maryland).

The current practice location address for Tomsene Johnetta Blake is 12115 Sutton Ln, Bowie, MD and can be reached out via phone at 202-528-3067.

Location: 12115 Sutton Ln, Bowie, MD, 20792-7465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609480342
Provider Name
Tomsene Johnetta Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
12115 Sutton Ln, Bowie, MD, 20792-7465
Phone Number
202-528-3067
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12115 Sutton Ln
City
Bowie
State
Maryland
Zip
20720-3562
Phone Number
202-528-3067
Fax Number
person
Provider Business Mailing Address Details
Address
12115 Sutton Ln
City
Bowie
State
Maryland
Zip
20720-3562
Phone Number
202-528-3067
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
M01119 (Maryland)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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