Individual
NICOLE CONKLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 S MANCHESTER AVE STE 650, ORANGE, CA 92868-3224
(714) 456-3077
Mailing address
200 S MANCHESTER AVE STE 650, ORANGE, CA 92868-3224
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A133685
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
A133685
CA
Other
Enumeration date
03/25/2013
Last updated
10/16/2024
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