Individual
MILES NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2035 E ARAPAHOE RD, SUITE #123, CENTENNIAL, CO 80122-1505
(720) 722-1143
Mailing address
PO BOX 221, JAMESTOWN, CO 80455-0221
(720) 722-1143
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2038
CO
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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