Individual
CAASI AVIVA JANET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6683 COMANCHE CT, HAYMARKET, VA 20169-2937
(703) 582-9568
Mailing address
6683 COMANCHE CT, HAYMARKET, VA 20169-2937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011053
VA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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