Individual
NANCY MIGNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1715 GINGER LN, BLACKSBURG, VA 24060-2049
(540) 392-0167
Mailing address
1715 GINGER LN, BLACKSBURG, VA 24060-2049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019000288
VA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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