Mr Nicholas Pernell Vines Sr, | |
2201 Sagewood Dr, Montgomery, AL 36117-2428 | |
(334) 676-2414 | |
Not Available |
Full Name | Mr Nicholas Pernell Vines Sr |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2201 Sagewood Dr, Montgomery, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174141428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 5521 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Pernell Vines Sr, 2201 Sagewood Dr, Montgomery, AL 36117-2428 Ph: (334) 676-2414 | Mr Nicholas Pernell Vines Sr, 2201 Sagewood Dr, Montgomery, AL 36117-2428 Ph: (334) 676-2414 |
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Fred Boyd, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7051 Fain Park Dr, Ste 106, Montgomery, AL 36117 Phone: 334-293-1027 | |
Daynette Rochon Ranger, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8449 Crossland Loop Ste 105, Montgomery, AL 36117 Phone: 334-654-9733 | |
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