Individual
ALICIA MARIE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CANTERBURY SQ APT 301, ALEXANDRIA, VA 22304-3061
(571) 224-5558
Mailing address
26 CANTERBURY SQ APT 301, ALEXANDRIA, VA 22304-3061
(571) 224-5558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019006082
VIRGINIA BOARD OF NURSING
VA
Enumeration date
05/08/2018
Last updated
05/08/2018
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