Individual
NICKEISHA WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 LINDEN GROVE PL APT 103, ODENTON, MD 21113-2785
(301) 658-8658
Mailing address
726 LINDEN GROVE PL APT 103, ODENTON, MD 21113-2785
(301) 658-8658
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
A00154150
MD
Other
Enumeration date
01/09/2020
Last updated
08/14/2020
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