Individual
KISHA LEVINITA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
24570 DULLES LANDING DR UNIT 160, DULLES, VA 20166-2622
(540) 841-4679
Mailing address
8626 AMBROSE CT, MANASSAS, VA 20109-3744
(540) 841-4679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018016
VA
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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