Individual
MRS. MARY A BOCCHICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LMT
Contact information
Practice address
5156 W OLIVE AVE # 404, GLENDALE, AZ 85302-4205
(440) 725-9047
Mailing address
5156 W OLIVE AVE # 404, GLENDALE, AZ 85302-4205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24017
AZ
Other
Enumeration date
03/06/2018
Last updated
05/24/2018
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