Individual
DIANNA M. WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6500 HARBOUR VIEW CT, SUIT 103, MIDLOTHIAN, VA 23112-2157
(804) 763-0267
Mailing address
3014 THREE BRIDGES RD, MIDLOTHIAN, VA 23112-4422
(804) 763-0267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
T69858643
VA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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