Individual
KYMMOLLOTKIS ALICIA YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6308 HOT SPRING LN, FREDERICKSBURG, VA 22407-2577
(540) 322-7751
Mailing address
6308 HOT SPRING LN, FREDERICKSBURG, VA 22407-2577
(540) 322-7751
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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