MALCOLM JAMES LICKERS

HENRICO, VA
NPI1255938098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: VA  2305202376)
Enumeration Date2020-10-05
Last Update Date2020-10-05
Business Address
MALCOLM JAMES LICKERS
8191 STAPLES MILL RD
HENRICO, VA 23228-2751
Phone number: 804-523-2653
Mailing Address
MALCOLM JAMES LICKERS
3307 QUAIL HILL DR
MIDLOTHIAN, VA 23112-4431
Phone number:
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