Individual
KUIANNA ALEXIS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
124 WASHINGTON ST, PROVIDENCE, RI 02903-3312
(857) 237-7182
Mailing address
22 PARSONAGE ST # 141, PROVIDENCE, RI 02903-4758
(857) 237-7182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02304
RI
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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