Individual
DIANE MARIE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
3105 WESTERN BRANCH BLVD STE 4, CHESAPEAKE, VA 23321-5529
(757) 686-3716
Mailing address
3500 EXECUTIVE CENTER DR APT 305, CHESAPEAKE, VA 23321-5239
(757) 672-9608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019001413
VA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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