Search › California › 101YM0800X
Angela Gordon-Nichols
NPI 1477144210 · on the registry since 2021 · sole proprietor
Practice
- Address
- 34428 Yucaipa Blvd Ste E-176
Yucaipa, CA 92399 - Phone
- (909) 499-7138
Additional practice sites
- 33562 Yucaipa Blvd # 4-203, Yucaipa, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-29
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