Search › California › 367500000X
Susan Nickerson
NPI 1811163884 · on the registry since 2008 · sole proprietor
Practice
- Address
- 239 Koch Rd
Corte Madera, CA 94925 - Phone
- (310) 294-4441
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-12-23
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