Individual
NIKONA M MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 490-1444
Mailing address
2325 E 16TH ST, THE DALLES, OR 97058-3975
(512) 864-5703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8285
OR
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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