CHARLOTTE STEPHANIE NICOLAS

LONG BEACH, CA
NPI1568961621
Former NameCHARLOTTE STEPHANIE LASSALAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008454)
Enumeration Date2018-02-05
Last Update Date2019-05-14
Business Address
CHARLOTTE STEPHANIE NICOLAS FNP
4401 ATLANTIC AVE STE 202
LONG BEACH, CA 90807-2252
Phone number: 562-988-2777
Mailing Address
CHARLOTTE STEPHANIE NICOLAS FNP
4401 ATLANTIC AVE STE 202
LONG BEACH, CA 90807-2252
Phone number: 562-988-2777