MRS. Nicole Lee Van Tassell

NPI #1184159022 in Ogden, Utah

Provider Information

NPI Number
1184159022
Entity Type
Individual
Name
MRS. Nicole Lee Van Tassell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Enumeration Date
Apr 28, 2017
Last Updated
Apr 28, 2017

Practice Location

Address
1496 EAST 5600 SOUTH
Address 2
UNIT 6
City
Ogden
State
Utah
ZIP Code
84403
Phone
(801) 479-7026

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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