Organization
CRYSTAL MASSAGE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN SHI (MEMBER)
(571) 352-4502
Entity
Organization
Contact information
Practice address
102 ELDEN ST STE 18, HERNDON, VA 20170-4839
(571) 352-4502
Mailing address
102 ELDEN ST STE 18, HERNDON, VA 20170-4839
(571) 352-4502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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