Individual
MR. BOBBY LEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8451 S NORMANDIE AVE APT 7, LOS ANGELES, CA 90044-2244
(310) 478-3711
Mailing address
8451 S NORMANDIE AVE APT 7, LOS ANGELES, CA 90044-2244
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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