Nicole Rose Detore

  • NPI 1184057036
According to our database, the NPI number for Nicole Rose Detore is 1184057036 and activated since 10 years ago. Nicole Rose Detore is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 4760 Sepulveda Blvd, Culver City, CA 90230. You can also contact Nicole Rose Detore via telephone number is (310) 751-5344. Provider NPI information was last updated on 08/14/2013.

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Overview of Nicole Rose Detore

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/14/2013
  • Last updated: 08/14/2013

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 4760 Sepulveda Blvd
    Culver City, CA 90230
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4760 Sepulveda Blvd
    Culver City, CA 90230
  • Phone: 310-751-5344
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicole Rose Detore?
  • A: The npi number for Nicole Rose Detore is 1184057036.
  • Q: What are Nicole Rose Detore's specialties?
  • A: Nicole Rose Detore's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Nicole Rose Detore?
  • A: The medical license number for Nicole Rose Detore is unknow and issued in unknow in USA.
  • Q: Where is Nicole Rose Detore practice location?
  • A: Nicole Rose Detore is practicing at 4760 Sepulveda Blvd, Culver City, CA 90230.
  • Q: How to contact Nicole Rose Detore?
  • A: You can contact Nicole Rose Detore via 310-751-5344.
Medicare Specialty
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Sports Medicine
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