Individual
MRS. REBECCA SUE NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
203 LUTHER AVE, PONTIAC, MI 48341-2776
(248) 688-6039
Mailing address
203 LUTHER AVE, PONTIAC, MI 48341-2776
(248) 688-6039
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MI
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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