Individual
DR. EGERTON ROY NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
288 MARTIN ST, 105, BLAINE, WA 98230-4045
(360) 603-4120
Mailing address
288 MARTIN ST, 105, BLAINE, WA 98230-4045
(360) 603-4120
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH60112736
WA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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