Individual
QUADIR JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7386 HARBOUR TOWNE PKWY STE 25, SUFFOLK, VA 23435-3464
(757) 638-9888
Mailing address
23250 LAKE SHORES CT, CARROLLTON, VA 23314-2220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019015789
VA
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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