Individual
ALICE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 2ND AVE, SUITE 209, WARREN, PA 16365-2418
(866) 878-6747
Mailing address
PO BOX 744, WARREN, PA 16365-0744
(866) 878-6747
(866) 878-6747
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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