MICHAEL MARK NICOLAS

LONG BEACH, CA
NPI1689946568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-02-07
Last Update Date2023-06-30
Business Address
Mr. MICHAEL MARK NICOLAS
324 E BIXBY RD
LONG BEACH, CA 90807-3432
Phone number: 562-595-8144
Mailing Address
Mr. MICHAEL MARK NICOLAS
324 E BIXBY ROAD
LONG BEACH, CA 90807-3432
Phone number: 562-595-8144
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