Individual
NYKOL WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MMP
Contact information
Practice address
14207 PARK CENTER DR, LAUREL, MD 20707-5248
(443) 204-5408
Mailing address
6821 HUNTINGTON DR, BALTIMORE, MD 21207-6415
(443) 204-5408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05387
MD
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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