Individual
NICHOLE MIKEL ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
10570 TWIN CITIES RD, GALT, CA 95632-8874
(209) 744-1380
Mailing address
10570 TWIN CITIES RD, GALT, CA 95632-8874
(209) 744-1380
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH139019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
869909
NABP
CA
Enumeration date
12/27/2021
Last updated
12/27/2021
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