Anna Marie Nickerson
NPI #1336986694 in Banning, California
Provider Information
- NPI Number
- 1336986694
- Entity Type
- Individual
- Name
- Anna Marie Nickerson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 12, 2024
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 1330 W RAMSEY ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-4477
- Phone
- (951) 551-2473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Peer Specialist |
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