Individual
ALICIA NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 SUMMER ST, FREDONIA, NY 14063-2111
(716) 679-6003
Mailing address
41 SUMMER ST, FREDONIA, NY 14063-2111
(716) 679-6003
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
757964
NY
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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