Individual
NICOLE M SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6581 MOROCCO ST, ALTA LOMA, CA 91737-4317
(909) 234-0247
(951) 698-0062
Mailing address
6581 MOROCCO STREET, ALTA LOMA, CA 91737
(909) 234-0247
(951) 698-0062
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
35693
CA
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
Primary
35693
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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