Individual
BAIGALMAA BAGI DAGVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 MAPLE AVE W, VIENNA, VA 22180-4309
(703) 242-3610
Mailing address
311 MAPLE AVE W, VIENNA, VA 22180-4309
(703) 242-3610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010729
VA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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