Individual
NIKOLYA LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5625 JAGGER CT, VIRGINIA BEACH, VA 23464-6723
(757) 303-4985
Mailing address
5625 JAGGER CT, VIRGINIA BEACH, VA 23464-6723
(757) 303-4985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/27/2017
Last updated
07/21/2022
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