Individual
MRS. NICOLE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1452 BRONCOS HWY, SUITE 3, BURRILLVILLE, RI 02830-1660
(401) 371-2890
(401) 371-2892
Mailing address
500 RESERVOIR RD, PASCOAG, RI 02859-3532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT00609
RI
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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