Brazell, Nicole Therese

Brazell, Nicole Therese is an individual health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Brazell, Nicole Therese can be contacted via phone (559) 789-6665.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (559) 789-6665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 33087 California

Profile Details

NPI number 1437495108
LBN Legal business name Brazell, Nicole Therese
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2012
Last updated Dec 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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