Individual
LINDA ROWAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMMP
Contact information
Practice address
628 SURRY ST, PORTSMOUTH, VA 23707-1327
(757) 416-8314
(256) 261-2911
Mailing address
628 SURRY ST, PORTSMOUTH, VA 23707-1327
(757) 416-8314
(256) 261-2911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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