MR. MERVYN NICHOLAS, PA
Physician Assistant - Medical
Active
Individual
NPI: 1104854728
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA15023 (CA) |
Frequently Asked Questions
NPI 1104854728 is the National Provider Identifier for MR. MERVYN NICHOLAS, PA, a Physician Assistant - Medical provider located in Vallejo, CA. This NPI was enumerated on June 30, 2006.
MR. MERVYN NICHOLAS, PA practices at 5505 BORDEAUX CT, Vallejo, CA 94591.
Quick Facts
- NPI
- 1104854728
- Type
- Individual
- Enumerated
- Jun 30, 2006
- Last Updated
- Jul 8, 2007
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