Individual
NICOLE E WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
(505) 286-8025
Mailing address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
(505) 286-8025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7861
NM
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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