Lillian Nickell
NPI #1316778764 in Maxwelton, West Virginia
Provider Information
- NPI Number
- 1316778764
- Entity Type
- Individual
- Name
- Lillian Nickell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician
- Enumeration Date
- Aug 8, 2024
- Last Updated
- Aug 8, 2024
Practice Location
- Address
- 414 INDUSTRIAL PARK RD
- City
- Maxwelton
- State
- West Virginia
- ZIP Code
- 24957
- Phone
- (304) 497-2850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician |
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