MITZI NIKKOLE

MARTIN, TN
NPI1134795669
Entity TypeOrganization
Authorized ContactMITZI MORRIS
Owner
270-627-1247
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
MITZI NIKKOLE
509 ELM ST
MARTIN, TN 38237-3407
Phone number: 270-627-1247
Mailing Address
MITZI NIKKOLE
PO BOX 13
HICKMAN, KY 42050-0013
Phone number: 270-627-1247