Individual
RAVEN SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 RIVIERA ARCH, VIRGINIA BEACH, VA 23464-5028
(757) 639-9275
Mailing address
5905 RIVIERA ARCH, VIRGINIA BEACH, VA 23464-5028
(757) 639-9275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009018024
VA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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