Ms. NICOLE BANNER -- LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1982831061- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 811 RUSSELL AVE STE B, GAITHERSBURG, MD, 208793524
- Phone
- (240) 418-8655
Specialties & Taxonomies
Massage Therapist
Primary License: MD #M03967