Nickolas Whitesides

NPI #1578095642 in South Ogden, Utah

Provider Information

NPI Number
1578095642
Entity Type
Individual
Name
Nickolas Whitesides
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Enumeration Date
Mar 29, 2017
Last Updated
Aug 23, 2017

Practice Location

Address
5664 ASPEN CT
State
Utah
ZIP Code
84403-5919
Phone
(801) 452-3346

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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