Individual
NICHOLE PACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S GARDEN AVE, NEWPORT, WA 99156-9001
(509) 447-5651
Mailing address
PO BOX 5055, NEWPORT, WA 99156-5055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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