Individual
MARY NICOSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5300 S SOUTHERN HILLS CT, ROGERS, AR 72758-3500
(479) 636-1324
Mailing address
5300 S SOUTHERN HILLS CT, STE 100, ROGERS, AR 72758-3500
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AR069
AR
Other
Enumeration date
04/16/2017
Last updated
04/16/2017
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