Individual
MS. NICOLE BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CMMT
Contact information
Practice address
18341 DUNLOP AVE, JAMAICA, NY 11412-1511
(718) 513-9543
Mailing address
20417 HILLSIDE AVE STE 209, HOLLIS, NY 11423-2213
(718) 513-9543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025634
NY
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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