Individual
NIKKIA RAIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BECKETT LN STE 303, FAYETTEVILLE, GA 30214-7158
(470) 895-2146
Mailing address
4879 EMBARCADERO LN APT 28-12, ATLANTA, GA 30337-6513
(470) 895-2146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013426
GA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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