Individual
SUSAN KATHERINE CUGLE-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2 SAINT ALBANS BLVD, STAFFORD, VA 22556-1800
(540) 659-1474
Mailing address
2 SAINT ALBANS BLVD, STAFFORD, VA 22556-1800
(540) 659-1474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019005258
VA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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