Individual
ANDREA L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432
(315) 906-0051
Mailing address
210 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432-1041
(315) 906-0051
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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