Sauda M Nickels

NPI #1033899505 in Stafford, Virginia

Provider Information

NPI Number: 1033899505
Entity Type: Individual
Name: Sauda M Nickels
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 20, 2023
Last Updated: Jul 20, 2023

Practice Location

Address: 112 HARVEST GREEN CT
City: Stafford
State: Virginia
ZIP Code: 22556-8021
Phone: (703) 850-8209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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