Individual
ASHLEY ELIZABETH NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5460 E LA PALMA AVE, ANAHEIM, CA 92807-2023
(714) 449-7401
(714) 449-7401
Mailing address
5460 E LA PALMA AVE, ANAHEIM, CA 92807-2023
(714) 449-7401
(714) 992-7850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33694
CA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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