Individual
MS. MIRIAM LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., M.M.P.
Contact information
Practice address
20 S 2ND ST, WARRENTON, VA 20186-3338
(540) 347-3369
Mailing address
PO BOX 487, AMISSVILLE, VA 20106-0487
(540) 937-3595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006855
VA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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