Individual
CHASITY WYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 WASHINGTON AVE STE F, OCEAN SPRINGS, MS 39564-2181
(228) 697-8860
Mailing address
20116 CHESTNUT DR, SAUCIER, MS 39574-8184
(228) 861-6129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1699
MS
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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