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Individual

JAYLA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 HUGUENOT RD STE 106, NORTH CHESTERFIELD, VA 23235-4311
(804) 248-7984
Mailing address
3431 KEIGHLY RD, RICHMOND, VA 23234-6538
(804) 248-7984

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018177
VA

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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