Individual
NICHOLAS STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCHT, RYT
Contact information
Practice address
36 WASHINGTON ST, LYNN, MA 01904-3306
(602) 760-6207
Mailing address
36 WASHINGTON ST, LYNN, MA 01904-3306
(602) 760-6207
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
120-002
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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