Individual
VANESSA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LMT, CNA
Contact information
Practice address
8728 LAROQUE RUN DR, FREDERICKSBURG, VA 22407-1991
(540) 538-8124
Mailing address
8728 LAROQUE RUN DR, FREDERICKSBURG, VA 22407-1991
(540) 538-8124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019040
VA
376K00000X
Nurse's Aide
1401135304
VA
Other
Enumeration date
02/23/2024
Last updated
02/29/2024
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