Most Relevant Information
Provider Data
| NPI Number: | 1003684291 |
| Provider Name: | SHALICIA TIMBERS LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 0019011784 |
Most Important Dates
| Enumeration Date: | 12/18/2023 |
| Last Updated: | 12/18/2023 |
Provider Practice Location
10500 WAKEMAN DR STE 500
FREDERICKSBURG
VA
224078014
Practice Location Phone/Fax
| Phone: | 5407858888 |
| Fax: |
Provider Mailing Location
10500 WAKEMAN DR STE 500
FREDERICKSBURG
VA
224078014
Provider Mailing Phone/Fax
| Phone: | 5407858888 |
| Fax: |