Individual
STEFAN RIGOROSO SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 616-3946
Mailing address
1318A MCDONOUGH ST, RICHMOND, VA 23224-2144
(757) 515-4375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017182
VA
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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