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Individual

NICOLE MICHELLE SUSINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
402 13TH AVE N, TEXAS CITY, TX 77590-6227
(409) 948-3038
Mailing address
402 13TH AVE N, TEXAS CITY, TX 77590-6227
(409) 948-3038

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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