Individual
JULIA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 BAKER DR, MELBOURNE, FL 32901-8002
(321) 914-6941
Mailing address
4680 LIPSCOMB ST NE STE 6A, PALM BAY, FL 32905-2928
(321) 208-5094
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
251E00000X
Home Health Agency
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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