Individual
MYUNG NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CONGRESS ST, QUINCY, MA 02169-0907
(617) 770-4048
Mailing address
20 WOODWARD AVE FL 5, QUINCY, MA 02169-4416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7109-MA
MA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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