Individual
NICHOLAS DEGABRIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COA, COF
Contact information
Practice address
3814 AUBURN BLVD STE 75, SACRAMENTO, CA 95821-2123
(916) 979-9729
Mailing address
3814 AUBURN BLVD STE 75, SACRAMENTO, CA 95821-2123
(916) 979-9729
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C52814
CA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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