Individual
ALEXANDRIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
13401 RAILWAY DR, OKLAHOMA CITY, OK 73114-2272
(405) 841-7826
(405) 841-7827
Mailing address
16608 VALDERAMA WAY, EDMOND, OK 73012-8925
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
02/21/2018
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