TRACY MARVIN BERG

FAIRFAX, VA
NPI1467068916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: VA  0019002906)
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
TRACY MARVIN BERG LMT
2700 DORR AVE APT 526
FAIRFAX, VA 22031-4946
Phone number: 202-246-0724
Mailing Address
TRACY MARVIN BERG LMT
2700 DORR AVE APT 526
FAIRFAX, VA 22031-4946
Phone number: 202-246-0724