Individual
NICOLE STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
317 S 56TH ST, PHILADELPHIA, PA 19143-1301
(610) 888-5820
Mailing address
6239 ADDISON ST, PHILADELPHIA, PA 19143-1014
(610) 888-5820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002167
PA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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