Individual
NICHOLE ALINE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M
Contact information
Practice address
45 MAIN ST STE C1, WAREHAM, MA 02571-2152
(508) 273-7698
Mailing address
45 MAIN ST STE C1, WAREHAM, MA 02571-2152
(586) 822-3365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3346
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3346
MASSAGE LICENSE NUMBER
MA
Enumeration date
11/04/2020
Last updated
11/04/2020
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