Individual
MARK NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP II, RRT - ACCS
Contact information
Practice address
1831 AVONDALE AVE, SACRAMENTO, CA 95825-1385
(916) 207-6755
Mailing address
1831 AVONDALE AVE, SACRAMENTO, CA 95825-1385
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
36699
CA
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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