Vicky Nichols

NPI #1205235090 in Jodie, West Virginia

Provider Information

NPI Number: 1205235090
Entity Type: Individual
Name: Vicky Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Aug 18, 2014
Last Updated: Aug 18, 2014

Practice Location

Address: 9610 RICH CREEK RD
City: Jodie
State: West Virginia
ZIP Code: 26690-6042
Phone: (304) 632-1389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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