Individual
NICOLE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16552 SUNHILL DR, VICTORVILLE, CA 92395-4518
(760) 780-4400
Mailing address
16552 SUNHILL DR, VICTORVILLE, CA 92395-4518
(760) 780-4400
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42088
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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