Individual
COLLEEN NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N LAKEWOOD BLVD STE D132, LONG BEACH, CA 90815-2552
(877) 902-8546
Mailing address
2201 N LAKEWOOD BLVD STE D132, LONG BEACH, CA 90815-2552
(877) 902-8546
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02421480
CA
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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