Individual
LIDIA CICERELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 N MEADE ST, ARLINGTON, VA 22209-3703
(201) 757-3198
Mailing address
1408 N MEADE ST, ARLINGTON, VA 22209-3703
(201) 757-3198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018655
VA
Other
Enumeration date
11/08/2024
Last updated
12/02/2024
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