Individual
NIKKI MAE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(304) 513-3900
Mailing address
1021 QUARRIER ST STE 310, CHARLESTON, WV 25301-2338
(303) 513-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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