Susanna Nicholass, MD
NPI #1598922882 in Banning, California
Provider Information
- NPI Number
- 1598922882
- Entity Type
- Individual
- Name
- Susanna Nicholass, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- May 22, 2008
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 5957 W RAMSEY ST
- City
- Banning
- State
- California
- ZIP Code
- 92220-3058
- Phone
- (951) 845-0313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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