Individual
ERIC RYAN NICHOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10017 NITA AVE, CHATSWORTH, CA 91311-2724
(818) 926-2857
Mailing address
10017 NITA AVE, CHATSWORTH, CA 91311-2724
(818) 926-2857
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10907
CA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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