Charleen Nicholson

NPI #1063052546 in Cheyenne, Wyoming

Provider Information

NPI Number
1063052546
Entity Type
Individual
Name
Charleen Nicholson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jan 13, 2020
Last Updated
Jan 13, 2020

Practice Location

Address
510 W 29TH ST
State
Wyoming
ZIP Code
82001-2760
Phone
(307) 632-9362

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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