Individual
XIUCHANG RONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13785 NEWPORT DR, CHANTILLY, VA 20151-3450
(703) 597-7575
Mailing address
13785 NEWPORT DR, CHANTILLY, VA 20151-3450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019014146
VA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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