Individual
NICOLE MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1166 PLESS ST NW, CONCORD, NC 28027-4229
(808) 286-6772
Mailing address
1166 PLESS ST NW, CONCORD, NC 28027-4229
(808) 286-6772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15665
NC
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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