Richard Nielsen

NPI #1417955113 in Susanville, California

Provider Information

NPI Number: 1417955113
Entity Type: Individual
Name: Richard Nielsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Enumeration Date: Jul 7, 2005
Last Updated: Aug 14, 2024

Practice Location

Address: 701 NEVADA ST
City: Susanville
State: California
ZIP Code: 96130-3912
Phone: (530) 257-4137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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