Individual
MS. VALENCIA LYNN NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16269 N 177TH DR, SURPRISE, AZ 85388-3105
(267) 467-8782
Mailing address
8194 W DEER VALLEY RD STE 106-550, PEORIA, AZ 85382-2127
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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