Individual
NICOLE HOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
54674
CA
363A00000X
Physician Assistant
54674
SC
Other
Enumeration date
01/26/2018
Last updated
12/10/2023
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