Individual
EMILY ROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
464 HERNDON PKWY STE 116, HERNDON, VA 20170-5200
(703) 665-0109
Mailing address
511 FLORIDA AVE APT 203, HERNDON, VA 20170-4911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019053
VA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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