DEZIREE NICOLE NICOTHODES

CLAREMONT, CA
NPI1518796986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-08-01
Last Update Date2024-08-01
Business Address
DEZIREE NICOLE NICOTHODES
2243 N MOUNTAIN AVE
CLAREMONT, CA 91711-1586
Phone number: 909-544-1676
Mailing Address
DEZIREE NICOLE NICOTHODES
2720 FOUNTAIN ST
POMONA, CA 91767-2246
Phone number: 909-544-1676