Individual
MS. LESLIE ANNE DICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.
Contact information
Practice address
35 PERRY STREET, CHESTER, NJ 07930
(908) 591-2411
Mailing address
35 PERRY STREET, CHESTER, NJ 07930
(908) 591-2411
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00045300
NJ
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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