Individual
MISS NICOLE P DWYER URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
152 LUCKY ST, SAN FRANCISCO, CA 94110-4122
(415) 871-6062
Mailing address
152 LUCKY ST, SAN FRANCISCO, CA 94110-4122
(415) 871-6062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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