Individual
NICHOLE LYNN SHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
609 7TH NORTH ST, LIVERPOOL, NY 13088-6554
(315) 278-4653
Mailing address
125 TULLER RD, NORTH SYRACUSE, NY 13212-1656
(315) 278-4653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029552
NY
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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