Individual
MR. RICHARD WILLIAM NICHOLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 874-4050
Mailing address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 874-4050
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
608549
CA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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