Individual
JACQUELINE M. NICHOLS-HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 CROFT CT, PAWCATUCK, CT 06379
(860) 333-8801
(866) 674-2685
Mailing address
10 CROFT CT, PAWCATUCK, CT 06379-1233
(757) 869-4838
(866) 674-2685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008879
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008879
STATE OF CONNECTICUT
CT
Enumeration date
10/24/2016
Last updated
11/19/2019
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