Individual
NIKALAUS LOYD LAYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCM
Contact information
Practice address
860 RALPH HALL PKWY, #46, ROCKWALL, TX 75032
(214) 598-0273
Mailing address
707 WILLOW RIDGE CIR, ROCKWALL, TX 75032-9121
(214) 694-0463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
115597
TX
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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