Individual
YVETTE LEE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4719 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2307
(757) 621-3653
Mailing address
4719 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2307
(757) 621-3653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009284
VA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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