Individual
NICHOLAS CONRAD HERNLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
(916) 393-4512
Mailing address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
(916) 393-4512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
06/05/2025
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