Search › California › 106S00000X
Nicole Licea
NPI 1366171092 · on the registry since 2022
Practice
- Address
- 3009 Arbor Glen Ct
Corona, CA 92879 - Phone
- (951) 905-0794
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California