WILLIE NICHOLSON

LOS ANGELES, CA
NPI1073011243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2018-01-23
Last Update Date2018-05-29
Business Address
WILLIE NICHOLSON
6957 N FIGUEROA ST
LOS ANGELES, CA 90042
Phone number: 323-443-3175
Mailing Address
WILLIE NICHOLSON
1945 HILLHURST AVE APT 2
LOS ANGELES, CA 90027-2732
Phone number: 618-660-9464
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