Individual
MRS. MELISSA ANNE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
402 EASTBROOK DR, CHARLOTTESVILLE, VA 22901-1116
(434) 882-1469
Mailing address
402 EASTBROOK DR, CHARLOTTESVILLE, VA 22901-1116
(434) 882-1469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019001991
VA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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