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
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-5919
- Phone
- (801) 452-3346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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