Individual
BRIDGETTA JASMINE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14447 BELVEDERE DR, WOODBRIDGE, VA 22193-1501
(850) 902-8732
Mailing address
14447 BELVEDERE DR, WOODBRIDGE, VA 22193-1501
(850) 902-8732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018042
VA
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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