Individual
PAMELA NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2711 PENBURY CT APT 104, WOODBRIDGE, VA 22191-4241
(202) 249-1312
Mailing address
2711 PENBURY CT APT 104, WOODBRIDGE, VA 22191-4241
(202) 249-1312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016296
VA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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