Individual
NICOLE DEBORAH NYQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 458-2938
Mailing address
560 119TH LN NW, COON RAPIDS, MN 55448-2218
(763) 458-2938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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