Individual
NICOLE SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HIGH ST, GLENVILLE, WV 26351-1200
(319) 651-4735
Mailing address
4305 FLAGSTICK DR, MARION, IA 52302-9804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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