Nicholls, Maya Grace
Nicholls, Maya Grace is an sole proprietor health care provider with primary practice located at 405 D St Suite 1, Petaluma CA 94952-3006. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Nicholls, Maya Grace can be contacted via phone (415) 342-1345.Contact Information
Primary practice address
405 D St Suite 1
Petaluma CA 94952-3006
Phone: (415) 342-1345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1356601033 |
|---|---|
| LBN Legal business name | Nicholls, Maya Grace |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2012 |
| Last updated | May 29th, 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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