Individual
DR. FRED SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.(LICENSED ACUPU
Contact information
Practice address
9151 E SWIFT TRAIL DR, PRESCOTT VALLEY, AZ 86314-7346
(805) 654-8776
Mailing address
PO BOX 26424, PRESCOTT VALLEY, AZ 86312-6424
(805) 654-8776
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0495
AZ
171100000X
Acupuncturist
AC1315
CA
Other
Enumeration date
01/28/2011
Last updated
12/02/2024
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