ALICIA FAULK NICKLAS

LAFAYETTE, LA
NPI1487188256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  AP09172)
Enumeration Date2017-04-18
Last Update Date2018-09-26
Business Address
ALICIA FAULK NICKLAS NP
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110
Mailing Address
ALICIA FAULK NICKLAS NP
104 GENEVIEVE DR
LAFAYETTE, LA 70503-4811
Phone number: 337-984-0110
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