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1124716519
DEROSA WELLNESS INNOVATION, LLC
RESTON, VA
NPI
1124716519
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Entity Type
Organization
Authorized Contact
SHIRLEY DEROSA
Director
703-826-1353
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2023-04-25
Last Update Date
2023-04-26
Business Address
DEROSA WELLNESS INNOVATION, LLC
11921 FREEDOM DR STE 550
RESTON, VA 20190-5635
Phone number: 703-826-1353
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Mailing Address
DEROSA WELLNESS INNOVATION, LLC
11921 FREEDOM DR STE 550
RESTON, VA 20190-5635
Phone number: 703-826-1353
Copy
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