Individual
MS. VIKKI NESTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSTOM, L.AC.
Contact information
Practice address
1531 LAKE GROVE AVE SE, GRAND RAPIDS, MI 49506-4741
(917) 376-4001
Mailing address
1531 LAKE GROVE AVE SE, GRAND RAPIDS, MI 49506-4741
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000137
MI
Other
Enumeration date
03/06/2014
Last updated
06/20/2021
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