Individual
NICHOLAS DERDERIAN NOSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3947 LENNANE DR STE 110, SACRAMENTO, CA 95834-1971
(916) 283-8280
(916) 283-8259
Mailing address
3947 LENNANE DR STE 110, SACRAMENTO, CA 95834-1971
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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