Individual
MRS. MARY ANN Q MCNICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6405 NIGHTINGALE ST, #102, VENTURA, CA 93003-7912
(805) 444-8468
(805) 620-0663
Mailing address
6405 NIGHTINGALE ST, #102, VENTURA, CA 93003-7912
(805) 444-8468
(805) 620-0663
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT40230
CA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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