Nickolle Lynn Mack
NPI #1841893096 in Elizabeth, West Virginia
Provider Information
- NPI Number
- 1841893096
- Entity Type
- Individual
- Name
- Nickolle Lynn Mack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Nov 19, 2020
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 74 SENIOR CIRCLE
- City
- Elizabeth
- State
- West Virginia
- ZIP Code
- 26143-2614
- Phone
- (304) 275-3158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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