Individual
RAY NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2964 OCEANSIDE BLVD, OCEANSIDE, CA 92054-4860
(760) 754-1393
Mailing address
1609 E LEXINGTON AVE, EL CAJON, CA 92019-2090
(619) 312-1127
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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