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Individual

TENISHA RENEE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 PROFESSIONAL PKWY, YORKTOWN, VA 23693-4334
(757) 750-0916
Mailing address
826 MATTMOORE PL, NEWPORT NEWS, VA 23601-4636
(757) 660-5569

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019014561
VA

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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