Individual
MR. RICHARD SEARS COCKRELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 INDEPENDENCE CIR, VIRGINIA BEACH, VA 23455-6405
(435) 680-1016
Mailing address
700 INDEPENDENCE CIR, VIRGINIA BEACH, VA 23455-6405
(435) 680-1016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019480
VA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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