Individual
NICOLE AMINA CHRISTOFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N DUTTON AVE STE 1, SANTA ROSA, CA 95401-7120
(707) 523-2848
Mailing address
3133 SONOMA AVE, SANTA ROSA, CA 95405-6859
(515) 520-7523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53164
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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