Nickolas Eugene Green

NPI #1841873163 in Oak Harbor, Washington

Provider Information

NPI Number: 1841873163
Entity Type: Individual
Name: Nickolas Eugene Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 4, 2021
Last Updated: May 12, 2021

Practice Location

Address: 520 E WHIDBEY AVE STE 103
City: Oak Harbor
State: Washington
ZIP Code: 98277-5921
Phone: (253) 223-4128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Taxi	344600000X
Massage Therapist	225700000X	Primary

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