Most Relevant Information
Provider Data
| NPI Number: | 1003050329 |
| Provider Name: | JOI NOREEN NICHOLS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2009 |
| Last Updated: | 04/30/2009 |
Provider Practice Location
9150 EAST IMPERIAL HIGHWAY , ROOM P-31
DOWNEY
CA
90242
Practice Location Phone/Fax
| Phone: | 5629403694 |
| Fax: | 5626587425 |
Provider Mailing Location
3606 W. EXPOSITION BLVD
LOS ANGELES
CA
90016
Provider Mailing Phone/Fax
| Phone: | 2133423114 |
| Fax: | 3232963049 |