Individual
ANGELINA ELIZABETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 4TH ST STE B, TAFT, CA 93268-2433
(661) 765-7025
Mailing address
1021 4TH ST STE B, TAFT, CA 93268-2433
(661) 765-7025
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
12/03/2024
Last updated
04/29/2025
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