Individual
KIM LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 WYTHE CREEK RD STE A, POQUOSON, VA 23662-1926
(757) 846-3618
Mailing address
205 COINJOCK RUN, YORKTOWN, VA 23693-2741
(757) 846-3618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016260
VA
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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