Individual
TAMMALA J NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 MAPLE ST, SOUTH AMHERST, OH 44001-2919
(440) 396-5407
Mailing address
107 MAPLE ST, SOUTH AMHERST, OH 44001-2919
(440) 396-5407
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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