Individual
NICHOLE RYAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
720 YORKLYN RD STE 150, HOCKESSIN, DE 19707-8729
(302) 234-2288
Mailing address
720 YORKLYN RD STE 150, HOCKESSIN, DE 19707-8729
(302) 234-2288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0004200
DE
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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