Individual
DANIELA ALESSANDRA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 SOUTH MALLORY STREET, HAMPTON, VA 23663-2366
(619) 994-8564
Mailing address
124 BURNS ST, HAMPTON, VA 23669-4610
(619) 994-8564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
225700000X
Massage Therapist
576578-09
VA
Other
Enumeration date
01/07/2020
Last updated
10/24/2024
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