STANLEY IDICULLA

HERNDON, VA
NPI1043274368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: VA  xxxx)
Enumeration Date2006-04-13
Last Update Date2013-12-18
Business Address
Dr. STANLEY IDICULLA DPM
112 ELDEN ST SUITE D
HERNDON, VA 20170-4874
Phone number: 703-437-5353
Mailing Address
Dr. STANLEY IDICULLA DPM
112 ELDEN ST SUITE D
HERNDON, VA 20170-4874
Phone number: 703-437-5353