NICOLLETTE MITRA

BRENTWOOD, CA
NPI1295396125
Former NameNICOLLETTE GUILLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95010361)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
NICOLLETTE MITRA FNP
2400 BALFOUR RD STE 302
BRENTWOOD, CA 94513-4955
Phone number: 925-285-2649
Mailing Address
NICOLLETTE MITRA FNP
1871 CAMINO ESTRADA
CONCORD, CA 94521-2439
Phone number: 925-285-2649
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