Individual
JEAN BERNARD NICOLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(550) 317-2818
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9481643
FL
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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