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Individual

VIRGINIA I PRADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 12TH ST S APT 1839, ARLINGTON, VA 22202-4280
(571) 305-0280
Mailing address
520 12TH ST S APT 1839, ARLINGTON, VA 22202-4280
(571) 305-0280

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013377
VA

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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