Individual
ALIYAH BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 307-9983
Mailing address
3200 W BROAD ST APT 517, RICHMOND, VA 23230-5035
(804) 307-9983
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015555
VA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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