Individual
MR. RAPHAEL LUIS VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 CLORE PL, WOODBRIDGE, VA 22192-7426
(203) 410-9530
Mailing address
3840 CLORE PL, WOODBRIDGE, VA 22192-7426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0733002406
VA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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