Individual
FAITH ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
612 W GRAND AVE, YOAKUM, TX 77995-2622
(361) 293-5795
(361) 293-5798
Mailing address
612 W GRAND AVE, YOAKUM, TX 77995-2622
(361) 293-5795
(361) 293-5798
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012245
TX
Other
Enumeration date
10/06/2010
Last updated
02/09/2016
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