Individual
JESSIKA L RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9902 LIBERIA AVE, MANASSAS, VA 20110-7052
(703) 568-0679
Mailing address
2035 JENNINGS ST, WOODBRIDGE, VA 22191-4535
(703) 568-0679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017207
VA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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