Individual
MRS. FARRAH PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 KIRBY ST, PORTSMOUTH, VA 23702-1139
(240) 626-1832
Mailing address
115 KIRBY STREET, PORTSMOUTH, VA 23702
(240) 626-1832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013592
VA
Other
Enumeration date
09/14/2016
Last updated
10/10/2016
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