Individual
MONICA ANN DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
614 N G AVE, DOUGLAS, AZ 85607-2106
(520) 508-4715
Mailing address
2161 N MONTE CRISTO WAY, HUACHUCA CITY, AZ 85616
(520) 508-4715
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MT-11744
AZ
225700000X
Massage Therapist
Primary
MT-11744
AZ
Other
Enumeration date
10/22/2008
Last updated
10/23/2008
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