Individual
WASSEL LTIFI
Active
Individual
WASSEL LTIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019016938
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
08/26/2020
Last updated
08/26/2020
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