Individual
KATHLEEN ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
366 ARABIAN WAY, HEALDSBURG, CA 95448-8098
(707) 431-7524
(707) 431-7524
Mailing address
366 ARABIAN WAY, HEALDSBURG, CA 95448-8098
(707) 431-7524
(707) 431-7524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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