Individual
CANDIE L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1710 COVEMEADOW CT, ARLINGTON, TX 76012-5406
(817) 437-4511
Mailing address
1710 COVEMEADOW CT, ARLINGTON, TX 76012-5406
(817) 437-4511
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
LMT027176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027176
LMT 027176
TX
Enumeration date
11/11/2008
Last updated
11/11/2008
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