Individual
MISS NIKEYLAH SUMMONE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4315 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(571) 575-2613
Mailing address
4315 RIDGEWOOD CENTER DR, WOODBRIDGE, VA 22192-5308
(571) 575-2613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020036
VA
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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