Individual
NICOLE HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11448 KINGS POND DR, PROVIDENCE FORGE, VA 23140-4465
(804) 557-4510
Mailing address
11448 KINGS POND DR, PROVIDENCE FORGE, VA 23140-4465
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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