Individual
MRS. MARY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
131 PARK ST NE, SUITE 7 C, VIENNA, VA 22180-4641
(703) 667-0790
Mailing address
131 PARK ST NE, SUITE 7 C, VIENNA, VA 22180-4641
(703) 667-0790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011876
VA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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