Individual
NICOLAS I CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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