Tiesha M White

NPI #1023726338 in Kensington, Maryland

Provider Information

NPI Number: 1023726338
Entity Type: Individual
Name: Tiesha M White
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Nov 7, 2022
Last Updated: Nov 7, 2022

Practice Location

Address: 3720 FARRAGUT AVE STE 109
City: Kensington
State: Maryland
ZIP Code: 20895-2110
Phone: (240) 480-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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