MS. SE NA Mazanec, LMT, MMP

NPI #1053049536 in Burke, Virginia

Provider Information

NPI Number: 1053049536
Entity Type: Individual
Name: MS. SE NA Mazanec, LMT, MMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT, MMP
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 9554 OLD KEENE MILL RD STE D
City: Burke
State: Virginia
ZIP Code: 22015-4287
Phone: (703) 508-1981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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