| Michael Mugnolo, CMT, LMT | |
|
307 Maple Ave W Ste L, Vienna, VA 22180-4307 | |
| (703) 672-1613 | |
| Not Available |
| Full Name | Michael Mugnolo |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 307 Maple Ave W Ste L, Vienna, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336603521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 0019014199 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mugnolo, CMT, LMT 307 Maple Ave W Ste L, Vienna, VA 22180-4307 Ph: (703) 672-1613 | Michael Mugnolo, CMT, LMT 307 Maple Ave W Ste L, Vienna, VA 22180-4307 Ph: (703) 672-1613 |
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