SUSANNA NICHOLASS

BANNING, CA
NPI1598922882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A107871)
Enumeration Date2008-05-22
Last Update Date2021-12-01
Business Address
-- SUSANNA NICHOLASS MD
5957 W RAMSEY ST
BANNING, CA 92220-3058
Phone number: 951-845-0313
Mailing Address
-- SUSANNA NICHOLASS MD
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188
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