Individual
YA SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 ELDEN ST STE 150, HERNDON, VA 20170-4855
(571) 519-9086
Mailing address
102 ELDEN ST STE 18, HERNDON, VA 20170-4839
(571) 352-4502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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