Leah Dawn Nickell A.T.C., L.A.T.

NPI 1164548293 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1164548293
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
225 FM 775
LA VERNIA TX, 78121-9554, US
Phone (830) 779-2181
Fax (830) 779-1021
Business Location
225 FM 775
LA VERNIA TX, 78121-9554, US
Phone (830) 779-2181
Fax (830) 779-1021
Toxanomy
Taxonomy Code 2255A2300X
License State Texas
License Number AT1963
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According to our database, Mrs. Leah Dawn Nickell A.T.C., L.A.T. NPI is 1164548293, taxonomy code is 2255A2300X and license number is AT1963, license state is located at Texas. Leah Dawn Nickell A.T.C., L.A.T. physically located at 225 Fm 775, La Vernia TX, 78121-9554. NPI Number Leah Dawn Nickell A.T.C., L.A.T. has the Individual type.

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1164548293 NPI number is provided on an as is basis without warranty of any kind. 1164548293 is maintained by the National Plan & Provider Enumeration System. The contents of Leah Dawn Nickell A.T.C., L.A.T. are for informational purposes only.