Individual
NICOLE YVONNE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
5934 GINGER DR, EASTVALE, CA 92880-0807
(909) 917-6271
Mailing address
5934 GINGER DR, EASTVALE, CA 92880-0807
(909) 917-6271
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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