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Individual

MRS. MARLENA PADRON REESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSOTHERAPIST

Contact information

Practice address
11010 WARWICK BLVD STE B, NEWPORT NEWS, VA 23601-3222
(757) 635-6758
Mailing address
11010 WARWICK BLVD STE B, NEWPORT NEWS, VA 23601-3222
(757) 635-6758

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
133NN1002X
Nutrition Education Nutritionist
133NN1002X
VA
225700000X
Massage Therapist
Primary
0019000957
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
332BP00X
VA
Enumeration date
07/28/2009
Last updated
12/04/2023
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