Individual
BROOKE ANNE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2233 BETHEL RD, RUFFIN, SC 29475-3967
(843) 635-0083
Mailing address
2233 BETHEL RD, RUFFIN, SC 29475-3967
(843) 635-0083
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
558222
SC
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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