Individual
SAUDA M NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HARVEST GREEN CT, STAFFORD, VA 22556-8021
(703) 850-8209
Mailing address
112 HARVEST GREEN CT, STAFFORD, VA 22556-8021
(703) 850-8209
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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