Phedeline Nicholas

NPI #1750557187 in Lithonia, Georgia

Provider Information

NPI Number
1750557187
Entity Type
Individual
Name
Phedeline Nicholas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 6, 2008
Last Updated
May 6, 2008

Practice Location

Address
1746 PLEASANT HILL TRL
State
Georgia
ZIP Code
30058-5819
Phone
(718) 519-7672

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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