Individual
DELISA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4000 MIDDLETON LOOP APT 203, DUMFRIES, VA 22025-2113
(540) 361-8332
Mailing address
4000 MIDDLETON LOOP APT 203, DUMFRIES, VA 22025-2113
(540) 361-8332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0009010852
VA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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