Individual
LENA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
9810 BOLTON VILLAGE CT, FAIRFAX, VA 22032-1147
(703) 898-7090
Mailing address
PO BOX 2332, FAIRFAX, VA 22031-0332
(703) 898-7090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006933
VA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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