| Ketorus Gooding, M04953 | |
|
9837 Bale Ct, Owings Mills, MD 21117-6106 | |
| (443) 801-8955 | |
| Not Available |
| Full Name | Ketorus Gooding |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 9837 Bale Ct, Owings Mills, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376880054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | M04953 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ketorus Gooding, M04953 9837 Bale Ct, Owings Mills, MD 21117-6106 Ph: (443) 801-8955 | Ketorus Gooding, M04953 9837 Bale Ct, Owings Mills, MD 21117-6106 Ph: (443) 801-8955 |
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