Individual
MARIA MAISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 673-9355
(804) 359-8344
Mailing address
2916 BYWATER DR APT 231, HENRICO, VA 23233-6603
(631) 495-8083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016894
VA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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