Individual
PATRICIA MARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
4010 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4532
(323) 420-4269
Mailing address
9611 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-2523
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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