Individual
MS. BRANDI LETITICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
227 HENDERSON ST, MARION, VA 24354-3013
(276) 759-6900
Mailing address
227 HENDERSON ST, MARION, VA 24354-3013
(276) 759-6900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006856
VA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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