Individual
MRS. CATHERINE SOBERANO NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 AMERICAN CANYON RD, AMERICAN CANYON, CA 94503-3004
(707) 557-0103
(707) 557-0113
Mailing address
549 FAIRHAVEN WAY, VALLEJO, CA 94591-7271
(707) 557-0103
(707) 557-0113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47136
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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