Individual
MISS JANEIL F NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
Mailing address
1910 ALVARADO DR NE, ALBUQUERQUE, NM 87110-5104
(505) 219-8701
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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