REBECCA MARIE DICICCO

LOUISVILLE, KY
NPI1598033235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA2025)
Enumeration Date2011-12-08
Last Update Date2025-03-03
Business Address
Mrs. REBECCA MARIE DICICCO PA-C
1941 BISHOP LN STE 200
LOUISVILLE, KY 40218-1973
Phone number: 502-888-1988
Mailing Address
Mrs. REBECCA MARIE DICICCO PA-C
ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
GERMANTOWN, TN 38183-1468
Phone number:
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