Individual
DIANA K MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
464 HERNDON PKWY STE 116, HERNDON, VA 20170-5200
(703) 981-9393
Mailing address
464 HERNDON PKWY STE 116, HERNDON, VA 20170-5200
(703) 981-9393
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
0019011818
VA
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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