Individual
ANGELA ROCHELLE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2355 ROCKWELL ST, BEAUMONT, TX 77701-8029
(409) 499-9883
Mailing address
2355 ROCKWELL ST, BEAUMONT, TX 77701-8029
(409) 499-9883
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302968
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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