Individual
MARCHELLE LEIALOHA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED MT
Contact information
Practice address
4920 MILLRIDGE PKWY E, SUITE 206, MIDLOTHIAN, VA 23112-4857
(804) 617-3387
Mailing address
822 MCKENZIE ST, PETERSBURG, VA 23803-3007
(804) 617-3387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011444
VA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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