Individual
MISS TIARRA SHENELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
23 CHASE GAYTON CIR APT 636, HENRICO, VA 23238-6531
(757) 927-0121
Mailing address
23 CHASE GAYTON CIR APT 636, HENRICO, VA 23238-6531
(757) 927-0121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018329
VA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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