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NPI Code Detail

MEDICARE: NICOLE MONIQUE CUEVAS

MEDICARE: NICOLE MONIQUE CUEVAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA 60146944WA

General Provider Information

NPI Number : 1831442946
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MONIQUE CUEVAS
Provider Business Mailing Address
First Line : 14505 PARKDALE DRIVE KP N
Second Line :
City : GIG HARBOR
State : WA
Zip : 98329-5641
Country : US
Telephone Number : 253-313-0116
Fax Number :
Provider Business Practice Location Address
First Line : 7700 PIONEER WAY
Second Line : SUITE 101
City : GIG HARBOR
State : WA
Zip : 98335-1156
Country : US
Telephone Number : 253-509-0258
Fax Number : 253-509-0297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 10/26/2012

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Directions to “ NICOLE MONIQUE CUEVAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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