Individual
FELICIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 PRINCE ST, ALEXANDRIA, VA 22314-2896
(917) 478-7254
Mailing address
2308 MOUNT VERNON AVE # 308, ALEXANDRIA, VA 22301-1328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019014533
VA
225700000X
Massage Therapist
MT2307
DC
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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