Organization
SUPREME SERENITY SPA OF ANNANDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JAY COURTNEY (CEO)
(571) 982-2405
Entity
Organization
Contact information
Practice address
5101A BACKLICK RD, ANNANDALE, VA 22003-6080
(571) 982-2405
Mailing address
5101A BACKLICK RD, ANNANDALE, VA 22003-6080
(571) 982-2405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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