Individual
NICOLE CLAUDETTE RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6190 CORNERSTONE CT E STE 212, SAN DIEGO, CA 92121-4701
(903) 383-7295
Mailing address
6190 CORNERSTONE CT E STE 212, SAN DIEGO, CA 92121-4701
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
20A16278
CA
Other
Enumeration date
07/18/2013
Last updated
01/21/2019
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