Individual
NICOLETTE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5249 MILL CREEK LN, SAN JOSE, CA 95136-3612
(845) 417-8415
Mailing address
5249 MILL CREEK LN, SAN JOSE, CA 95136-3612
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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