Individual
NICOLE INGRID MIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1410 9TH ST NW, #1, WASHINGTON, DC 20001-3360
(202) 408-4858
Mailing address
1410 9TH ST NW, #1, WASHINGTON, DC 20001-3360
(202) 408-4858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC500091
DC
171100000X
Acupuncturist
VA0121000483
VA
Other
Enumeration date
05/25/2010
Last updated
11/11/2016
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