Individual
NICKETTI MARIE HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
181 S BUENA VISTA ST FL 3, BURBANK, CA 91505-4504
(818) 847-3781
(818) 572-9420
Mailing address
181 S BUENA VISTA ST FL 3, BURBANK, CA 91505-4504
(818) 847-3781
(818) 572-9420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A188123
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/03/2024
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