Individual
YAN LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT ABMB
Contact information
Practice address
4242 CHAIN BRIDGE RD, SUITE A, FAIRFAX, VA 22030-8145
(703) 383-0338
(703) 383-0322
Mailing address
4242 CHAIN BRIDGE RD, SUITE A, FAIRFAX, VA 22030-8145
(703) 383-0338
(703) 383-0322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008667
VA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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