Individual
LAURA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
17921 MOON HILL CT, HIDDEN VALLEY LAKE, CA 95467-8097
(707) 350-0236
(707) 987-3166
Mailing address
17921 MOON HILL CT, HIDDEN VALLEY LAKE, CA 95467-8097
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM293
CA
Other
Enumeration date
03/03/2011
Last updated
12/14/2012
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