Individual
KHIN MAYTHU GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1980 GALLOWS RD, VIENNA, VA 22182-3913
(703) 323-5691
(703) 323-5692
Mailing address
1735 ALASKA CT, WOODBRIDGE, VA 22191-3641
(631) 796-2630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019772
VA
Other
Enumeration date
08/23/2024
Last updated
01/11/2026
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