Individual
MISS CARLENE MAY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4502 RIVERSTONE BLVD, MISSOURI CITY, TX 77459-5204
(281) 903-7613
Mailing address
3211 BROKEN BOUGH DR, MISSOURI CITY, TX 77459-2542
(832) 305-1166
(281) 969-8137
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328702
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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