Individual
MS. STEPHANIE MICHELLE DONELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6484 MAIN ST, THE PLAINS, VA 20198-2255
(571) 408-5545
Mailing address
6179 CAMROSE LN, BROAD RUN, VA 20137-1900
(571) 408-5545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016407
VA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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