Nicole E Weiss

NPI #1417732017 in Edgewood, New Mexico

Provider Information

NPI Number: 1417732017
Entity Type: Individual
Name: Nicole E Weiss
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 30, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 1 LINNIE CT
City: Edgewood
State: New Mexico
ZIP Code: 87015-9125
Phone: (505) 286-7838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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