Leigh-Demetra Nicklow, LADC, SC-C
NPI #1831065895 in Center City, Minnesota
Provider Information
- NPI Number
- 1831065895
- Entity Type
- Individual
- Name
- Leigh-Demetra Nicklow, LADC, SC-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- LADC, SC-C
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 15251 PLEASANT VALLEY RD
- City
- Center City
- State
- Minnesota
- ZIP Code
- 55012-9640
- Phone
- (651) 213-4075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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