Individual
MRS. VIRGINIA L MARSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12 HAGEN AVE, CRANSTON, RI 02920-2614
(401) 573-2910
Mailing address
12 HAGEN AVE, CRANSTON, RI 02920-2614
(401) 573-2910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01208
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28093-2
BLUECROSSBLUESHIELD OF RI
RI
Enumeration date
02/01/2007
Last updated
07/08/2007
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