Maureen G Holmgren Nimmo

NPI #1922390749 in Benton, Kentucky

Provider Information

NPI Number: 1922390749
Entity Type: Organization
Organization Name: Maureen G Holmgren Nimmo
Primary Specialty: Adult Companion
Enumeration Date: May 12, 2011
Last Updated: Jul 18, 2011

Practice Location

Address: 867 DARNELL RD
City: Benton
State: Kentucky
ZIP Code: 42025-6903
Phone: (270) 205-6624

Authorized Official

Name: MAUREEN G NIMMO
Title: OWNER
Phone: (270) 205-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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