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Individual

BRANDY ADKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
813 DILIGENCE DR STE 121C, NEWPORT NEWS, VA 23606-4285
(757) 660-1796
Mailing address
334 CATTAIL LN, YORKTOWN, VA 23693-5217

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0019008541
STATE MASSAGE LICENSE NUMBER
VA
Enumeration date
04/25/2022
Last updated
04/25/2022
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