MICHAEL ASHBY SULLIVAN

STAFFORD, VA
NPI1972114882
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: VA  0019012217)
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
MICHAEL ASHBY SULLIVAN
2152 JEFFERSON DAVIS HWY
STAFFORD, VA 22554-7273
Phone number: 540-751-8750
Mailing Address
MICHAEL ASHBY SULLIVAN
5 BALDWIN DR
FREDERICKSBURG, VA 22406-6264
Phone number: 540-751-8750
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