Individual
MS. KRISTINA WALES AHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
464 HERNDON PKWY STE 116, HERNDON, VA 20170-5200
(540) 226-8009
Mailing address
2240 CASTLE ROCK SQ APT 1B, RESTON, VA 20191-2226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013699
VA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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