Individual
MATHEW NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2868 BRYDEN RD, COLUMBUS, OH 43209-2248
(614) 867-2913
Mailing address
2868 BRYDEN RD, COLUMBUS, OH 43209-2248
(614) 867-2913
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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