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Individual

MS. BARBARA NICOLULIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 OWENSMOUTH AVE, CANOGA PARK, CA 91303-3159
(818) 610-6764
Mailing address
44903 17TH ST W, LANCASTER, CA 93534-2009
(661) 942-4993

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/08/2007
Last updated
03/28/2018
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