| NPI | 1922559426 |
|---|---|
| Doing Business As | BOM |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MACMILLAN Owner 443-902-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M05398) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |