Individual
CORINNE R NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P., D.O.M.
Contact information
Practice address
3611 W HILLSBOROUGH AVE, SUITE 212, TAMPA, FL 33614-5757
(813) 319-2223
Mailing address
11850 DR MARTIN LUTHER KING JR ST N, UNIT 21203, ST PETERSBURG, FL 33716-1619
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2247
FL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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