Individual
MS. NIKOLA WALN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 Q ST, SACRAMENTO, CA 95811-5705
(916) 234-0359
Mailing address
2225 13TH ST, SACRAMENTO, CA 95818-1407
(916) 208-9258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9968
CA
374700000X
Technician
Primary
L9968
CA
Other
Enumeration date
02/19/2025
Last updated
04/12/2026
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