Individual
NICOLE M PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2999 MISSION BLVD STE 101, SAN DIEGO, CA 92109-8076
(858) 216-4443
Mailing address
4757 BERMUDA AVE, SAN DIEGO, CA 92107-3809
(360) 477-1870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53254
CA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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