Individual
MAHOGANY DESIREE WOOLFOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS, LMT
Contact information
Practice address
1221 MALL DR STE 202, NORTH CHESTERFIELD, VA 23235-4737
(804) 569-5184
Mailing address
2920 W STONY HILL CT APT 2B, RICHMOND, VA 23235-6851
(804) 569-5184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011549
VA
Other
Enumeration date
04/22/2018
Last updated
04/22/2018
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