Individual
JORDAN WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 CLEARLAKE RD, NORTH CHESTERFIELD, VA 23236-2028
(804) 386-6408
Mailing address
1231 CLEARLAKE RD, NORTH CHESTERFIELD, VA 23236-2028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017553
VA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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