Individual
BRIAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2060 CAMPUS DR, YREKA, CA 96097-9538
(530) 841-2204
Mailing address
2060 CAMPUS DR, YREKA, CA 96097-9538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
605228
CA
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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