Individual
NICOLAS DER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
855 VETERANS BLVD, REDWOOD CITY, CA 94063-1712
(650) 817-9070
(650) 246-3838
Mailing address
2011 30TH AVE, SAN FRANCISCO, CA 94116-1149
(650) 817-9070
(650) 246-3838
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
784306
CA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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