Individual
MISS CICELY STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 THIMBLE SHOALS BLVD STE I, NEWPORT NEWS, VA 23606-3563
(757) 637-0084
Mailing address
1839 BANCROFT DR, HAMPTON, VA 23663-2025
(757) 637-0084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508477829
BIRTH DOULA, POSTPARTUM DOULA
VA
Enumeration date
08/11/2020
Last updated
03/25/2023
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