Individual
NICOLE FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5930 CORNERSTONE CT W STE 300, SAN DIEGO, CA 92121-3772
(866) 687-7390
(866) 687-7393
Mailing address
5930 CORNERSTONE CT W STE 300, SAN DIEGO, CA 92121-3772
(866) 687-7390
(866) 687-7393
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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