Organization
NUGENICS WELLNESS CORPORATION
Active
Other names
LUCID MASSAGE
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DAWN SMITH (OWNER)
(757) 770-7078
Entity
Organization
Contact information
Practice address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(207) 305-3761
(207) 305-3761
Mailing address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(207) 305-3761
(207) 305-3761
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
06/29/2025
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