NICHOLAS ANTHONY WEST

SAN BERNARDINO, CA
NPI1750929410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41441)
Enumeration Date2019-12-12
Last Update Date2019-12-12
Business Address
NICHOLAS ANTHONY WEST
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Mailing Address
NICHOLAS ANTHONY WEST
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191