Individual
KELLY NEVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
195 S ROSEMONT RD STE 105, VIRGINIA BEACH, VA 23452-4353
(757) 340-7132
Mailing address
1033 ROLLING POINT CT, VIRGINIA BEACH, VA 23456-6371
(757) 636-6396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019882
VA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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