| Nicole Russo, | |
|
38 Montvale Ave Ste 330, Stoneham, MA 02180-2450 | |
| (978) 886-5441 | |
| Not Available |
| Full Name | Nicole Russo |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 38 Montvale Ave Ste 330, Stoneham, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356572747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2452 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Russo, 163 West St Apt 3, Malden, MA 02148-6532 Ph: (978) 886-5441 | Nicole Russo, 38 Montvale Ave Ste 330, Stoneham, MA 02180-2450 Ph: (978) 886-5441 |
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