Lamar Ray Nicholson
NPI #1891380705 in Adelanto, California
Provider Information
- NPI Number
- 1891380705
- Entity Type
- Individual
- Name
- Lamar Ray Nicholson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Mar 2, 2021
- Last Updated
- Mar 2, 2021
Practice Location
- Address
- 10478 THORNDALE ST
- City
- Adelanto
- State
- California
- ZIP Code
- 92301-4887
- Phone
- (909) 730-5136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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Organizations
| Provider Name | |
|---|---|
| M & T Adult Day Health Care Center, Inc. |
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