Individual
NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13933 253RD ST, ROSEDALE, NY 11422-2611
(646) 377-9873
Mailing address
13933 253RD ST, ROSEDALE, NY 11422-2611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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