Individual
MRS. IVONE CORVALAN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
8550 ARLINGTON BLVD STE 325, FAIRFAX, VA 22031-4647
(703) 698-7117
(703) 698-5729
Mailing address
11441 FOGARTY CT, FAIRFAX, VA 22030-8555
(240) 476-8224
(703) 272-7579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019005149
VA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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