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NICOLE HAN

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1902571938

Individual Registrant:
 NICOLE  HAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 714-740-9767  Fax: --

Contact information for business:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: --  Fax: --

Registration Information:
NPI: 1902571938
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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