Individual
MIKHAIL NIKOLAENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
33.021612 N-R
Contact information
Practice address
11923 MONTGOMERY RD, CINCINNATI, OH 45249-2019
(513) 907-6725
Mailing address
6398 LIBERTY FAIRFIELD RD, LIBERTY TWP, OH 45011-5117
(513) 907-6725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.021612 N-R
OH
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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