Individual
CATHERINE M NICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 BRUCE ST, YREKA, CA 96097-3450
(308) 424-1215
Mailing address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 842-4121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD2018-0977
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A171729
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/27/2015
Last updated
07/12/2021
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