Individual
NICOLE B MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 EAST OHIO AVE, ESCONDIDO, CA 92025-3421
(760) 746-3937
(760) 746-3991
Mailing address
810 EAST OHIO AVE, ESCONDIDO, CA 92025-3421
(760) 746-3937
(760) 746-3991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A75895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A758950
—
CA
Enumeration date
07/07/2006
Last updated
07/08/2007
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