Individual
RICHARD FERCOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7528 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731
(571) 248-0695
Mailing address
7528 OLD LINTON HALL RD, GAINESVILLE, VA 20155-1731
(571) 248-0695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016152
VA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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