Individual
MISS DANAE MARINELLY DOMINGUEZ ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
14801 MURDOCK ST, CHANTILLY, VA 20151-1037
(571) 551-8304
Mailing address
15742 WIDEWATER DR, DUMFRIES, VA 22025-1212
(571) 296-8518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017947
VA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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