Individual
BENJAMIN DESCAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT/MMP
Contact information
Practice address
603 W JASPER CT, STERLING, VA 20164-5014
(315) 573-8139
Mailing address
603 W JASPER CT, STERLING, VA 20164-5014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019358
VA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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