Individual
KERON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11813 CHASE WELLESLEY DR APT 1003, HENRICO, VA 23233-7766
(804) 986-5965
Mailing address
11813 CHASE WELLESLEY DR APT 1003, HENRICO, VA 23233-7766
(804) 986-5965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017344
VA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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