SearchOhio172M00000X

Nicole Jackson Vicente, LMT

NPI 1932411196 · on the registry since 2010 · sole proprietor

Practice

Address
210 W Parkwood Dr
Dayton, OH 45405
Phone
(937) 802-8772

Registry record

Primary taxonomy
172M00000X
172M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio