Individual
CYNTHIA MAGAN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 EMILY LN, MINEOLA, TX 75773-1927
(903) 638-4573
Mailing address
1033 EMILY LN, MINEOLA, TX 75773-1927
(903) 638-4573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345465
TX
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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