Healthcare Provider Details

I. General information

NPI: 1558273862
Provider Name (Legal Business Name): JUDY DEL DUCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6917 ARLINGTON RD
BETHESDA MD
20814-5211
US

IV. Provider business mailing address

807 JACKSON RD
SILVER SPRING MD
20904-2806
US

V. Phone/Fax

Practice location:
  • Phone: 301-701-6046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberR02454
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: