NICHOLAS KENNETH DETCHMAN

LOS ANGELES, CA
NPI1861268187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
NICHOLAS KENNETH DETCHMAN
669 W 34TH ST STE 102L
LOS ANGELES, CA 90089-0411
Phone number: 213-821-5977
Mailing Address
NICHOLAS KENNETH DETCHMAN
669 W 34TH ST STE 102L
LOS ANGELES, CA 90089-0411
Phone number: 213-821-5977