Individual
MS. KELLY J MENEFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4414 LAFAYETTE BLVD, FREDERICKSBURG, VA 22408-4271
(540) 693-0325
Mailing address
310 LORRAINE AVE, FREDERICKSBURG, VA 22408-1927
(540) 310-3986
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
001902825
VA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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