Organization
ETERNAL ENERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHATARUS CAPRICE HARDING LMT (OWNER)
(240) 429-3689
Entity
Organization
Contact information
Practice address
5500 MONUMENT AVE STE M, RICHMOND, VA 23226-1452
(240) 429-3689
Mailing address
159 LAWRENCEVILLE LN, HEATHSVILLE, VA 22473-2853
(240) 429-3689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
09/10/2024
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