Individual
NICHOLAS VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 331-7331
Mailing address
13263 HERRON ST, SYLMAR, CA 91342-2524
(818) 732-5519
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95231313
CA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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