LISA M NICHOLS

STOCKTON, CA
NPI1083287536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  36474)
Enumeration Date2021-07-22
Last Update Date2021-07-22
Business Address
LISA M NICHOLS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
Mailing Address
LISA M NICHOLS
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103