Individual
MS. SE NA MAZANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
9554 OLD KEENE MILL RD STE D, BURKE, VA 22015-4287
(703) 508-1981
Mailing address
9145 BROKEN OAK PL, BURKE, VA 22015-3566
(703) 508-1981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018301
VA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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