Individual
DERICA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7614
(757) 416-6700
(757) 416-7777
Mailing address
1340 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-2268
(757) 416-6700
(757) 416-7777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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