Individual
MS. SANDRA ELIZABETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
129 HARDY AVE, NORFOLK, VA 23523-1111
(757) 803-8634
Mailing address
129 HARDY AVE, NORFOLK, VA 23523-1111
(757) 803-8634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010446
VA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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