Individual
MISS ASHLEY ELIZABETH VAN VALKENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
318 N ARCH RD STE 100B, NORTH CHESTERFIELD, VA 23236-3567
(804) 292-0887
Mailing address
6524 BRAMBLETON RD, CHESTERFIELD, VA 23832-8268
(804) 263-4674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012532
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1789074
STATE OF VIRGINIA
VA
Enumeration date
03/22/2018
Last updated
03/26/2020
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