Individual
ANNA MARIA QUAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6509 BERKSHIRE DR, ALEXANDRIA, VA 22310-3053
(614) 357-1130
Mailing address
6509 BERKSHIRE DR, ALEXANDRIA, VA 22310-3053
(614) 357-1130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019017820
VA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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