Heavenly Gore, MASSAGE THERAPIST

NPI 1063725612 · on the registry since 2010

Practice

Address: 5530 Wisconsin Ave
Chevy Chase, MD 20815
Phone: (301) 540-6140
Fax: (301) 540-5190
Organisation at this address: Mgmc, Llc
Rcca Md Llc
Laservue, Llc
Cardiocare Llc
Hear Here, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 281

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland