JESSICA ANTOINETTE NICHOLAS

PORTLAND, OR
NPI1174127476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-11-27
Last Update Date2020-11-27
Business Address
JESSICA ANTOINETTE NICHOLAS
5725 NE PRESCOTT ST
PORTLAND, OR 97218-2275
Phone number: 503-548-8085
Mailing Address
JESSICA ANTOINETTE NICHOLAS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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