Individual
CHARITY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 WINNEMAC PIKE S, LA RUE, OH 43332-8818
(937) 707-9750
Mailing address
3301 WINNEMAC PIKE S, LA RUE, OH 43332-8818
(937) 707-9750
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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