Individual
SHALEEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
2787 S KEY BISCAYNE DR, GILBERT, AZ 85295-6076
(602) 919-1700
Mailing address
2787 S KEY BISCAYNE DR, GILBERT, AZ 85295-6076
(602) 919-1700
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA464099033
AZ
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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