Individual
SHELLEY NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 FRONT ST, LONACONING, MD 21539-1008
(301) 707-3158
Mailing address
19 FRONT ST, LONACONING, MD 21539-1008
(301) 707-3158
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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