TIMOTHY ROBERT NICKOLAUS

RICHLAND, WA
NPI1518250554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA60217353)
Enumeration Date2011-05-24
Last Update Date2021-06-22
Business Address
TIMOTHY ROBERT NICKOLAUS PA
875 SWIFT BLVD
RICHLAND, WA 99352-3592
Phone number: 509-946-1654
Mailing Address
TIMOTHY ROBERT NICKOLAUS PA
560 GAGE BLVD SUITE 203
RICHLAND, WA 99352
Phone number: 509-942-3627
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