PHYLLIS DENISE NICKENS

URBANNA, VA
NPI1700065513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-10-29
Last Update Date2007-10-29
Business Address
-- PHYLLIS DENISE NICKENS
5372B OLD VIRGINIA STREET
URBANNA, VA 23175
Phone number: 804-758-5250
Mailing Address
-- PHYLLIS DENISE NICKENS
5372B OLD VIRGINIA STREET
URBANNA, VA 23175
Phone number: 804-758-5250
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