RICHARD D. NICHOLS

SHIPROCK, NM
NPI1578709630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MT  30775)
Enumeration Date2008-12-19
Last Update Date2008-12-22
Business Address
-- RICHARD D. NICHOLS LPN
US HWY 491 NORTH
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
Mailing Address
-- RICHARD D. NICHOLS LPN
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401