# NICOLLETTE MELO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699363424
- **Gender:** F
- **Credential:** L.AC. MT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00150400 | NJ | Yes |
| 225700000X | Massage Therapist | 18KT01214600 | NJ | — |

## Other

- **Enumeration date:** 01/07/2021
- **Last updated:** 01/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18KT01214600 | LICENSED | NJ |
| 01 | — | 25MZ00150400 | LICENSED | NJ |
