Tammala J Nichols

NPI #1811011851 in South Amherst, Ohio

Provider Information

NPI Number: 1811011851
Entity Type: Individual
Name: Tammala J Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Mar 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 107 MAPLE ST
City: South Amherst
State: Ohio
ZIP Code: 44001-2919
Phone: (440) 396-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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