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Individual

MRS. JERRI CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14281 POTOMAC MILLS RD # 103, WOODBRIDGE, VA 22192-6805
(703) 781-0188
Mailing address
5623 SPRIGGS MEADOW DR, WOODBRIDGE, VA 22193-6217
(703) 781-0188

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
0019009942
VA
174400000X
Specialist
1264001547
VA
225700000X
Massage Therapist
Primary

Other

Enumeration date
01/25/2016
Last updated
09/24/2022
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