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Individual

PROF. RAVEN KEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11745 JEFFERSON AVE STE 1, NEWPORT NEWS, VA 23606-4410
(757) 729-0278
Mailing address
949 21ST ST, NEWPORT NEWS, VA 23607-5307
(757) 729-0278

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009061
VA

Other

Enumeration date
05/04/2022
Last updated
05/04/2022
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