Individual
MRS. NICOLE BURGOS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 K ST STE 410, SACRAMENTO, CA 95816-5119
(916) 389-7100
Mailing address
1257 56TH AVE, SACRAMENTO, CA 95831-3146
(562) 565-9163
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
95017049
CA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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