Organization
NICOLES ELYSIAN MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA HALL (LICENSED MASSAGE THERAPIST)
(716) 559-6626
Entity
Organization
Contact information
Practice address
561 S PARK AVE, BUFFALO, NY 14204-2627
(716) 465-9703
Mailing address
139 ERB ST, BUFFALO, NY 14215-3950
(716) 559-6626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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