Individual
KANDACE NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 PEBBLE CREEK PKWY APT G, BIRMINGHAM, AL 35214-7408
(205) 332-7811
Mailing address
1157 PEBBLE CREEK PKWY APT G, BIRMINGHAM, AL 35214-7408
(205) 332-7811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3023
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7165295
LICENSE
AL
Enumeration date
09/22/2020
Last updated
09/22/2020
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