Djpnicolas, LLC
NPI #1871144816 in Glendora, California
Provider Information
- NPI Number
- 1871144816
- Entity Type
- Organization
- Organization Name
- Djpnicolas, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 144 N. GRAND AVENUE
- City
- Glendora
- State
- California
- ZIP Code
- 91741
- Phone
- (626) 691-6031
Authorized Official
- Name
- DEANNA NICOLAS
- Title
- CENTER DIRECTOR
- Phone
- (626) 691-6031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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