MRS. Crystal Patrese Nichols

NPI #1386892727 in Mojave, California

Provider Information

NPI Number
1386892727
Entity Type
Individual
Name
MRS. Crystal Patrese Nichols
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 27, 2008
Last Updated
Aug 27, 2008

Practice Location

Address
15662 K ST
City
Mojave
ZIP Code
93501-1826
Phone
(661) 824-4118

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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