Individual
ABIGAIL NUCKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 MELINDA DR., MT LOOKOUT, WV 26678
(304) 663-9927
Mailing address
PO BOX 16, VICTOR, WV 25938-0016
(304) 663-9927
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/31/2023
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