Individual
SHARON FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 OFFICE PL, SUITE 104, WOODBRIDGE, VA 22192-4213
(703) 986-0429
(703) 590-4900
Mailing address
13601 OFFICE PL, SUITE 104, WOODBRIDGE, VA 22192-4213
(703) 986-0429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008639
VA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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