Individual
MRS. IRISH R NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1109 S 7TH ST, EL CENTRO, CA 92243-3922
(760) 693-4617
Mailing address
1109 S 7TH ST, EL CENTRO, CA 92243-3922
(760) 693-4617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
634404
CA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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