MRS. Julie Anne Nichols, MED, CALT/LDT

NPI #1699101972 in Selma, Texas

Provider Information

NPI Number
1699101972
Entity Type
Individual
Name
MRS. Julie Anne Nichols, MED, CALT/LDT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MED, CALT/LDT
Enumeration Date
Sep 18, 2013
Last Updated
Sep 18, 2013

Practice Location

Address
15107 COG HL
City
Selma
State
Texas
ZIP Code
78154-1327
Phone
(210) 459-0641

Specialties & Taxonomy Codes

Specialty
Specialist

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