LILLIE MAE NICHOLSON

KINGWOOD, WV
NPI1992428908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  19736)
Enumeration Date2022-09-23
Last Update Date2022-09-23
Business Address
LILLIE MAE NICHOLSON
419 MORGANTOWN ST
KINGWOOD, WV 26537-1095
Phone number: 304-329-3565
Mailing Address
LILLIE MAE NICHOLSON
419 MORGANTOWN ST
KINGWOOD, WV 26537-1095
Phone number: 304-329-3565