Individual
DIANE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 CHINA GROVE CT, MANASSAS, VA 20110-8913
(703) 943-9088
Mailing address
9340 CHINA GROVE CT, MANASSAS, VA 20110-8913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006518
VA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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