Individual
TARA YASMINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8003 FRANKLIN FARMS DR RM 102, RICHMOND, VA 23229-5107
(804) 945-0577
Mailing address
13040 QUANDER CT, WOODBRIDGE, VA 22193-4540
(703) 625-0835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019005457
VA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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