Individual
MISS NIKKI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5843 RAMSEY ST, FAYETTEVILLE, NC 28311-3467
(910) 818-2513
Mailing address
5843 RAMSEY ST, FAYETTEVILLE, NC 28311-3467
(910) 818-2513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16297
NC
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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