Individual
MATTHEW B JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
8347A GREENSBORO DR, MC LEAN, VA 22102-3530
(571) 888-5193
Mailing address
8347A GREENSBORO DR, MC LEAN, VA 22102-3530
(571) 888-5193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012155
VA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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