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Search › California › 171M00000X

Nichealle Thies

NPI 1417712167 · on the registry since 2024 · sole proprietor

Practice

Address
7000b S Center Dr
Clearlake, CA 95422
Phone
(707) 994-7090
Organisation at this address
County Of Lake
County Of Lake
Inferred from a shared address, not stated in the registry.
Clinicians at this address
109

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-20

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