Individual
LAURA ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13881 POWELL RD, PORTAGE, OH 43451-9769
(419) 619-4157
Mailing address
13881 POWELL RD, PORTAGE, OH 43451-9769
(419) 619-4157
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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