Individual
YVONNE DREPTATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2985 DISTRICT AVE, FAIRFAX, VA 22031-1541
(443) 406-8339
Mailing address
2985 DISTRICT AVE, UNIT 687, FAIRFAX, VA 22031-1541
(570) 730-1953
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019007455
VA
225700000X
Massage Therapist
MD # R02177
MD
225700000X
Massage Therapist
MT107551
TX
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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