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Mico Ancrum
NPI 1972341535 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1012 Roberts Ct
Fredericksburg, VA 22401 - Phone
- (540) 812-5127
Registry record
- Primary taxonomy
- 342000000X
342000000X
- Also registered as
- 342000000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia