Individual
NICHOLAS THOMAS VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 JOSE FIGUERES AVE, SAN JOSE, CA 95116-1528
(408) 272-1400
Mailing address
938 DIVISION ST, PLEASANTON, CA 94566-6403
(707) 334-1937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6281
CA
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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