Provider Demographics
NPI:1265021265
Name:GALVEZ, JAVIELA FRANCISCA (LMT)
Entity Type:Individual
Prefix:
First Name:JAVIELA
Middle Name:FRANCISCA
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41965 BLUE FLAG TER
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2576
Mailing Address - Country:US
Mailing Address - Phone:571-238-4763
Mailing Address - Fax:
Practice Address - Street 1:41965 BLUE FLAG TER
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-2576
Practice Address - Country:US
Practice Address - Phone:157-123-8476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019015251225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist