Individual
MRS. NICOLE NOWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30222 MARROCCO DR, WARREN, MI 48088-3329
(810) 304-2898
Mailing address
30222 MARROCCO DR, WARREN, MI 48088-3329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001448
MI
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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