Individual
MS. POLLYANN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 WOODLAND TRL, HANNIBAL, MO 63401-6558
(573) 406-5544
Mailing address
231 WOODLAND TRL, HANNIBAL, MO 63401-6558
(573) 406-5544
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
5856-10839
MO
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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