Individual
PATRICIA AGNES NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17A DEWEY AVE, WARWICK, RI 02886-2431
(401) 921-1810
(401) 921-1816
Mailing address
17A DEWEY AVE, WARWICK, RI 02886-2431
(401) 921-1810
(401) 921-1816
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320001
—
RI
Enumeration date
03/22/2007
Last updated
07/08/2007
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