Individual
MS. DOMINIQUE MYESHA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MS
Contact information
Practice address
529 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-4035
(757) 463-0091
Mailing address
1008 RIVER BIRCH CT APT 202, VIRGINIA BEACH, VA 23451-5138
(347) 309-8034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017766
VA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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