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Nicolette Lake
NPI 1447734025 · on the registry since 2018 · sole proprietor
Practice
- Address
- 531 Ohara Ave
Oakley, CA 94561 - Phone
- (925) 219-6165
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-01
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