Individual
NICQUIA SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4535 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7768
(540) 604-5186
(540) 604-5187
Mailing address
4535 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7768
(540) 604-5186
(540) 604-5187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202803
VA
207Q00000X
Family Medicine Physician
OT012545
PA
Other
Enumeration date
12/30/2008
Last updated
10/08/2013
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