Individual
YANA DEMENTIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2771 HARTLAND RD, FALLS CHURCH, VA 22043-3529
(703) 587-0804
Mailing address
1803 WESTWIND WAY, MC LEAN, VA 22102-1611
(703) 587-0804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019345
VA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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