Individual
MRS. PEARLINE TWILAH-FAYE MUCKELVENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1663 PRINCE ST FL 2, ALEXANDRIA, VA 22314-2818
(240) 302-4043
Mailing address
11029 CORVIN PL, WHITE PLAINS, MD 20695-4302
(571) 653-7044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
225700000X
Massage Therapist
Primary
0019020307
VA
Other
Enumeration date
12/12/2022
Last updated
03/12/2026
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