Individual
JOHN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 MAPLE AVE W, VIENNA, VA 22180
(703) 865-7676
Mailing address
122 MAPLE AVE W, VIENNA, VA 22180-5727
(703) 865-7676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019011048
VA
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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