Individual
NICHOLAS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
99 FRENCHTOWN RD, NORTH KINGSTOWN, RI 02852
(401) 808-9189
Mailing address
53 PLEASANT ST, WEST WARWICK, RI 02893-5663
(401) 808-9189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02266
RI
Other
Enumeration date
10/18/2021
Last updated
09/17/2024
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