NICHOLAS LARRY

SANTA CRUZ, CA
NPI1689081507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- NICHOLAS LARRY
238 SAN LORENZO BLVD APT 2
SANTA CRUZ, CA 95060-5127
Phone number: 310-909-4744
Mailing Address
-- NICHOLAS LARRY
238 SAN LORENZO BLVD APT 2
SANTA CRUZ, CA 95060-5127
Phone number: 310-909-4744