Individual
LUCELO DELGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4141 N HENDERSON RD, SUITE 14, ARLINGTON, VA 22203-2486
(704) 258-1282
(703) 276-3339
Mailing address
4141 N HENDERSON RD, SUITE 14, ARLINGTON, VA 22203-2486
(704) 258-1282
(703) 276-3339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011029
VA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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