Individual
PATRICIA M. NICKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
2609 S 10TH AVE STE 102, CALDWELL, ID 83605-6885
(208) 454-2766
(208) 454-3771
Mailing address
2609 S 10TH AVE STE 102, CALDWELL, ID 83605-6885
(208) 454-2766
(208) 454-3771
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
ID#284627
ID
Other
Enumeration date
07/27/2015
Last updated
07/29/2015
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