Individual
MRS. VICTORIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8238 RAMSEUR PL, MANASSAS, VA 20109-1905
(571) 313-9069
Mailing address
8238 RAMSEUR PLACE, MANASSAS, VA 20109-1905
(571) 313-9069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008499
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
580734-09
NCBTMB
VA
Enumeration date
04/20/2011
Last updated
04/20/2011
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