Individual
NICHOLIE KIM QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4263 BUCKINGHAM AVE, CLOVIS, CA 93619-6926
(626) 228-5744
(626) 228-5744
Mailing address
4263 BUCKINGHAM AVE, CLOVIS, CA 93619-6926
(626) 228-5744
(626) 228-5744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50954
CA
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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