Individual
JUANITA NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1901 VICTOR AVE, REDDING, CA 96002-0412
(530) 221-0194
(530) 221-7845
Mailing address
1442 ETHAN WAY, SUITE 200, SACRAMENTO, CA 95825-2231
(916) 482-4856
(530) 893-9347
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
469937
CA
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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