Individual
MISS ALICIA ELIZABETH HEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
24164 BELLEAU, QUANTICO, VA 22134
(703) 784-6558
Mailing address
19 CUMMINGS DR, APT 404, STAFFORD, VA 22554-7174
(785) 331-7733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001238
VA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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