PHEDELINE NICHOLAS

LITHONIA, GA
NPI1750557187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  216596-1)
Enumeration Date2008-05-06
Last Update Date2008-05-06
Business Address
-- PHEDELINE NICHOLAS
1746 PLEASANT HILL TRL
LITHONIA, GA 30058-5819
Phone number: 718-519-7672
Mailing Address
-- PHEDELINE NICHOLAS
1746 PLEASANT HILL TRL
LITHONIA, GA 30058-5819
Phone number: