Individual
TYANA WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 FAIRLAWN AVE, VIRGINIA BEACH, VA 23455-4614
(757) 995-9880
Mailing address
1035 FAIRLAWN AVE, VIRGINIA BEACH, VA 23455-4614
(757) 995-9880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018962
VA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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