Individual
JESUS JAVIER ANDINO-AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, LMT
Contact information
Practice address
32 WATERLOO ST STE 212, WARRENTON, VA 20186-3238
(703) 967-7506
Mailing address
8131 GIDEONS LN, JEFFERSONTON, VA 22724-2366
(703) 967-7506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019002651
VA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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