Nicole M Mack
NPI #1386031094 in Canton, Mississippi
Provider Information
- NPI Number
- 1386031094
- Entity Type
- Individual
- Name
- Nicole M Mack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Apr 20, 2015
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- 618 W ACADEMY ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-4225
- Phone
- (769) 251-3329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
| Technician - Personal Care Attendant — Personal Care Attendant |
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