Individual
NICOLE ESHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.M.
Contact information
Practice address
860 E RALPH HALL PKWY, STE 46, ROCKWALL, TX 75032-6877
(214) 592-2234
Mailing address
860 E RALPH HALL PKWY, STE 46, ROYSE CITY, TX 75189
(214) 592-2234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT112934
MASSAGE THERAPY LICENSE
TX
Enumeration date
01/03/2014
Last updated
01/03/2014
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