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Individual

MRS. YUKO LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1421 KEMPSVILLE RD STE C, CHESAPEAKE, VA 23320-1406
(757) 410-5322
(757) 548-0670
Mailing address
1421 KEMPSVILLE RD STE C, CHESAPEAKE, VA 23320-1406
(757) 410-5322

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0019016628
COMMONWEALTH OF VIRGINIA LICENSE
VA
Enumeration date
12/27/2021
Last updated
12/27/2021
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