Individual
MRS. MARIE-NOELLE CONNAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4023 CHAIN BRIDGE RD, ARCADIA MASSAGE, FAIRFAX, VA 22030-4108
(571) 269-4732
Mailing address
4015 STONEWALL AVE, FAIRFAX, VA 22032-1016
(571) 269-4732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019009932
CERTIFIED MASSAGE THERAPIST
VA
Enumeration date
10/15/2014
Last updated
10/15/2014
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