Individual
MISS NICOLE ALLISON COVENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 N 21ST ST STE D, NEWARK, OH 43055-7251
(740) 366-6601
(740) 366-6286
Mailing address
905 N 21ST ST STE D, NEWARK, OH 43055-7251
(740) 366-6601
(740) 366-6286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-05400
OH
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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