Individual
LAURA MAHABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3867 MARQUIS PL, WOODBRIDGE, VA 22192-6210
(703) 389-4157
Mailing address
3867 MARQUIS PL, WOODBRIDGE, VA 22192-6210
(703) 389-4157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011546
VA
225700000X
Massage Therapist
M06065
MD
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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