Individual
ANNETTE THOMPSON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 CLARA LN, WINSTON SALEM, NC 27105-9724
(336) 978-7598
Mailing address
PO BOX 962, WINSTON SALEM, NC 27102-0962
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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