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Individual

IREAN IRITZ PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14528 LANICA CIRCLE, 14595 AVION PARKWAY,, CHANTILLY, VA 20151
(571) 290-2775
Mailing address
14528 LANICA CIRCLE, 14595 AVION PARKWAY,, CHANTILLY, VA 20151
(571) 290-2775

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019019493
VA
225700000X
Massage Therapist
Primary
0019019493

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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