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Antonina Y Agafonova

Massage Therapist in Washington, DC. Individual provider (NPI-1).

NPI number1962060871
StatusActive
Last updated in NPPESJun 5, 2019

Details

NPI
1962060871
Entity type
Individual (NPI-1)
Name
Antonina Y Agafonova
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 5, 2019
Last updated
Jun 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapistmt1838DCYes

Practice location

2701 Ontario Rd Nw
Washington, DC 20009-2144

Phone 202-320-0250

Mailing address

12213 Village Square Ter Apt 102
Rockville, MD 20852-1921

Phone 240-533-7679

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