Individual
MRS. KATHLEEN M. DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 CHESTER GARDEN CIR, CHESTER, VA 23831-5701
(843) 319-6878
Mailing address
1728 RIVER ROCK DR, CHESTER, VA 23836-6018
(843) 319-6878
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
C153636
CA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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