Individual
NICOLE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6436
Mailing address
4150 V ST, PSSB SUITE 1200, SACRAMENTO, CA 95817-1460
(916) 734-7985
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.203921
LA
Other
Enumeration date
05/13/2009
Last updated
06/30/2015
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