Individual
NICOLE MERCEP LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 ARENDELL ST, MOREHEAD CITY, NC 28557-4129
(252) 240-9988
Mailing address
1105 ARENDELL ST, MOREHEAD CITY, NC 28557-4129
(252) 240-9988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10883
NC
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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