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Individual
NICOLE TARES MCVEA
Active
Individual
NICOLE TARES MCVEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
240179581
IN
372600000X
Adult Companion
Primary
240179581
IN
3747A0650X
Attendant Care Provider
240179581
IN
3747P1801X
Personal Care Attendant
240179581
IN
376J00000X
Homemaker
240179581
IN
Other
Enumeration date
03/01/2025
Last updated
03/04/2025
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