Individual
NICOLE YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA91368 FLORIDA
Contact information
Practice address
2202 E 49TH ST, TULSA, OK 74105-8710
(407) 494-0778
Mailing address
10607 E 113TH ST N, OWASSO, OK 74055-4256
(305) 340-9811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
106370
OK
225700000X
Massage Therapist
Primary
MA91368
FL
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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