MISTY MORNA NICKOLI

FAIRBANKS, AK
NPI1790020204
Former NameMISTY MORNA GIL-MARTINEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  6776)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
MISTY MORNA NICKOLI LPN
1717 WEST COWELS STREET
FAIRBANKS, AK 99701
Phone number: 907-451-6682
Mailing Address
MISTY MORNA NICKOLI LPN
1717 WEST COWELS STREET
FAIRBANKS, AK 99701
Phone number: 907-451-6682