Javonn Washington Nicholas

NPI #1003443995 in Tallulah, Louisiana

Provider Information

NPI Number
1003443995
Entity Type
Individual
Name
Javonn Washington Nicholas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Mar 23, 2020
Last Updated
Mar 23, 2020

Practice Location

Address
805 N BEECH ST
ZIP Code
71282-3809
Phone
(318) 574-0098

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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