Individual
MRS. BRENDA JOYCE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1677 CAMP EIGHT RD, RICHTON, MS 39476-8932
(601) 735-5551
Mailing address
1677 CAMP EIGHT RD, RICHTON, MS 39476-8932
(601) 735-5551
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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