Individual
NICHOLLE GLORIA FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 WILLOW CROSSING RD, GREENSBURG, PA 15601-9122
(412) 417-8899
Mailing address
448 WILLOW CROSSING RD, GREENSBURG, PA 15601-9122
(412) 417-8899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013697
PA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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