Individual
NIKITA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
1335 BLAND ST, BLUEFIELD, WV 24701-3701
(304) 952-8875
Mailing address
1335 BLAND ST, BLUEFIELD, WV 24701-3701
(304) 952-8875
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
039109
WV
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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