Healthcare Provider Details

I. General information

NPI: 1740192566
Provider Name (Legal Business Name): GIOVANNA ZULMA ZUNIGA DE GAMARRA CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6285 FRANCONIA RD
ALEXANDRIA VA
22310-2510
US

IV. Provider business mailing address

6285 FRANCONIA RD
ALEXANDRIA VA
22310-2510
US

V. Phone/Fax

Practice location:
  • Phone: 703-719-7302
  • Fax: 703-719-9462
Mailing address:
  • Phone: 703-719-7302
  • Fax: 703-719-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019011569
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: