DR. Nichole Lee Braddock

NPI #1780994590 in Oceana, West Virginia

Provider Information

NPI Number: 1780994590
Entity Type: Individual
Name: DR. Nichole Lee Braddock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 14, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: COOK PKWY
City: Oceana
State: West Virginia
ZIP Code: 24870-0460
Phone: (304) 682-8586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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