Individual
MS. CECILIA PATRICE NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
6609 BLANCO RD STE 145, SAN ANTONIO, TX 78216-6179
(210) 342-2299
Mailing address
4741 COUNTY ROAD 345, LA VERNIA, TX 78121-4077
(210) 838-4958
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80739
TX
Other
Enumeration date
05/30/2017
Last updated
11/30/2020
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