Individual
YANFEI FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44355 PREMIER PLZ STE 120, ASHBURN, VA 20147-5050
(703) 910-1311
Mailing address
13636 DORNOCK CT, HERNDON, VA 20171-3376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018928
VA
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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