Individual
MS. NICOLE TANIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 PALMER ROAD, SCOTLAND, CT 06264-0179
(860) 450-6512
Mailing address
PO BOX 179, 12 PALMER ROAD, SCOTLAND, CT 06264-0179
(860) 450-6512
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
637
CT
Other
Enumeration date
06/12/2008
Last updated
06/02/2015
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