Individual
SAE ROM KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6469 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1413
(571) 253-4945
Mailing address
6469 LITTLE RIVER TPKE, ALEXANDRIA, VA 22312-1413
(571) 253-4945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013664
VA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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