Individual
DR. LUIS MIGUEL NICACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
2568 QUEENSGATE DR., RICHLAND, WA 99352
(509) 628-3745
(866) 224-8375
Mailing address
2568 QUEENSGATE DRIVE, RICHLAND, WA 99352
(509) 628-3745
(888) 224-8375
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2916
WA
111NS0005X
Sports Physician Chiropractor
2916
WA
Other
Enumeration date
01/05/2007
Last updated
07/27/2010
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