Nicole Gustafson

NPI #1073170650 in Gilroy, California

Provider Information

NPI Number: 1073170650
Entity Type: Individual
Name: Nicole Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 20, 2019
Last Updated: May 20, 2019

Practice Location

Address: 290 IOOF AVE
City: Gilroy
State: California
ZIP Code: 95020-5204
Phone: (408) 846-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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