Individual
MR. NICK VAN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6208 FAYETTEVILLE RD STE 101, DURHAM, NC 27713-6286
(919) 935-8251
Mailing address
6208 FAYETTEVILLE RD STE 101, DURHAM, NC 27713-6286
(919) 935-8251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15519
NC
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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