Individual
MRS. NICOLE A. SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADRII
Contact information
Practice address
135 PAUL DR, SAN RAFAEL, CA 94903-2023
(415) 454-9444
(415) 454-4864
Mailing address
135 PAUL DR, SAN RAFAEL, CA 94903-2023
(415) 454-9444
(415) 454-4864
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RII03130115
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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