Individual
NICHOLE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
306 DOMINION RD, PORTSMOUTH, VA 23701-1614
(252) 945-4942
Mailing address
306 DOMINION RD, PORTSMOUTH, VA 23701-1614
(252) 945-4942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019019447
VA
225700000X
Massage Therapist
3050
NC
Other
Enumeration date
04/01/2008
Last updated
09/11/2023
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