MS. Patricia Ann Nucklos, INDEPENDENT PROVIDER

NPI #1316783996 in Canton, Ohio

Provider Information

NPI Number: 1316783996
Entity Type: Individual
Name: MS. Patricia Ann Nucklos, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Credential: INDEPENDENT PROVIDER
Enumeration Date: Jul 3, 2024
Last Updated: Jul 3, 2024

Practice Location

Address: P.O. BOX 8411
City: Canton
State: Ohio
ZIP Code: 44711
Phone: (330) 794-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X
Private Vehicle	347C00000X	Primary

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