Chanthorn Nicoulin

NPI #1003532474 in Troy, Ohio

Provider Information

NPI Number
1003532474
Entity Type
Individual
Name
Chanthorn Nicoulin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Oct 17, 2022
Last Updated
Oct 17, 2022

Practice Location

Address
701 S STANFIELD RD APT 150
City
Troy
State
Ohio
ZIP Code
45373-2362
Phone
(937) 729-8182

Specialties & Taxonomy Codes

Specialty
Private Vehicle
Technician - Personal Care AttendantPersonal Care Attendant

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