Individual
NICOLE R PAVLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4210 N ROXBORO ST STE 129, DURHAM, NC 27704-1874
(984) 377-7378
Mailing address
2212 TANNERS MILL DR, DURHAM, NC 27703-9524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18212
NC
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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