Individual
NICKI DOTSON
Active
Individual
NICKI DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24017411
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300095694
—
IN
Enumeration date
11/25/2024
Last updated
11/25/2024
Update your record
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