Individual
KAREN MARIE NICKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
81 N WASHINGTON ST, SUITE C, SONORA, CA 95370-4727
(209) 406-4119
Mailing address
81 N WASHINGTON ST, SUITE C, SONORA, CA 95370-4727
(209) 406-4119
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
31324
CA
225700000X
Massage Therapist
Primary
31324
CA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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