Individual
NICOLE TINA NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9967 PIGEON ROOST RD, HILLSBORO, OH 45133-6027
(937) 205-3091
Mailing address
9967 PIGEON ROOST RD, HILLSBORO, OH 45133-6027
(937) 205-3091
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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