Individual
MR. JAMES ROBERT NICHOLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6380
Mailing address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6380
(805) 934-6381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
508663
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
508663
CA
Other
Enumeration date
03/09/2007
Last updated
06/16/2011
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