Individual
MR. JOE JOHN NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.C.
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 545-3390
(509) 543-2488
Mailing address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 545-3390
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RC00010572
WA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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