Individual
JOANN L NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
211 S CHURCH RD, CARSONVILLE, MI 48419-9109
(810) 627-1726
Mailing address
211 S CHURCH RD, CARSONVILLE, MI 48419-9109
(810) 627-1726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703080248
MI
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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