Stevenson, Nicole R

Stevenson, Nicole R is an sole proprietor health care provider with primary practice located at 17922 Shell Road , Jamestown Road CA 95327. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Stevenson, Nicole R can be contacted via phone (209) 890-5905.

Contact Information

Primary practice address
17922 Shell Road Jamestown Road CA 95327
Phone: (209) 890-5905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 74885 California

Profile Details

NPI number 1760709935
LBN Legal business name Stevenson, Nicole R
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2010
Last updated Apr 28th, 2010 - about 14 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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