Mary Nicosia, LAC

NPI #1659805711 in Rogers, Arkansas

Provider Information

NPI Number: 1659805711
Entity Type: Individual
Name: Mary Nicosia, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Apr 16, 2017
Last Updated: Apr 16, 2017

Practice Location

Address: 5300 S SOUTHERN HILLS CT
City: Rogers
State: Arkansas
ZIP Code: 72758-3500
Phone: (479) 636-1324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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Organizations

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