Individual
REGINA CERCEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 DENNISON AVE APT C4, DREXEL HILL, PA 19026-2736
(215) 279-1543
Mailing address
3960 DENNISON AVE APT C4, DREXEL HILL, PA 19026-2736
(215) 279-1543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002363
PA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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