Individual
MRS. NICOLE TERMONFILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Mailing address
1523 GRIFFIN WAY, ROHNERT PARK, CA 94928-1577
(415) 246-5627
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363AM0700X
Medical Physician Assistant
Primary
58456
CA
Other
Enumeration date
09/22/2015
Last updated
10/07/2020
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