DJPNICOLAS, LLC

GLENDORA, CA
NPI1871144816
Entity TypeOrganization
Authorized ContactDEANNA NICOLAS
Center Director
626-691-6031
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
DJPNICOLAS, LLC
144 N. GRAND AVENUE
GLENDORA, CA 91741
Phone number: 626-691-6031
Mailing Address
DJPNICOLAS, LLC
144 N. GRAND AVENUE
GLENDORA, CA 91741
Phone number: 626-691-6031
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