Individual
DAVID NICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 TUNNEL RD W, SANTA MARIA, CA 93454
(805) 739-8670
Mailing address
251 S OAK PARK BLVD APT 37, GROVER BEACH, CA 93433-4213
(805) 474-1159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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