Individual
NICKOLAS PALACIO AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1166 K ST, BRAWLEY, CA 92227-2737
(760) 344-9951
Mailing address
900 MAIN ST, BRAWLEY, CA 92227-2630
(760) 344-9951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15896
CA
Other
Enumeration date
12/04/2007
Last updated
01/11/2012
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