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Individual

LUISA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4462 STARLING CT, WOODBRIDGE, VA 22193-1875
(703) 855-7154
Mailing address
4462 STARLING CT, WOODBRIDGE, VA 22193-1875
(703) 855-7154

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009189
VA

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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