Individual
SERENA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 KECOUGHTAN RD APT 3, HAMPTON, VA 23669-4481
(757) 218-5730
Mailing address
1062 W MERCURY BLVD UNIT 7112, HAMPTON, VA 23666-1011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010491
VA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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