Individual
REGINA GRACE KOMLAGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 1/2 KING ST APT 1, ALEXANDRIA, VA 22314-2938
(202) 505-0388
Mailing address
1009 1/2 KING ST APT 1, ALEXANDRIA, VA 22314-2938
(202) 505-0388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2609
DC
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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