Individual
SHANTA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 HILLTOP PLAZA, SUITE 24, VIRGINIA BEACH, VA 23454-4501
(757) 338-5221
Mailing address
430 COLLIER CRES, SUFFOLK, VA 23434-4080
(757) 338-5221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011767
VA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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