Individual
MISS TAMMY SUE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1122
(585) 243-7290
Mailing address
8 CLINTON ST, DANSVILLE, NY 14437-1306
(585) 335-5967
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
487013
NY
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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