Individual
MS. LYDIA MARIA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
4730 MASSILLON RD, NORTH CANTON, OH 44720-1166
(330) 906-1480
Mailing address
4730 MASSILLON RD, NORTH CANTON, OH 44720-1166
(330) 906-1480
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
03/01/2024
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