person
Mr. Mervyn Bertrand Nicholas, PA
Medical Physician Assistant in Vallejo, California
NPI 1104854728

Mervyn Bertrand Nicholas is a Medical Physician Assistant based in Vallejo, CA and is specialized in Medical. Mervyn Bertrand Nicholas practices in Vallejo, CA and has the professional credentials of PA. The NPI Number for Mervyn Bertrand Nicholas is 1104854728 and holds a License No. PA15023 (California).

The current practice location address for Mervyn Bertrand Nicholas is 5505 Bordeaux Ct, Vallejo, CA and can be reached out via phone at 707-980-0372 and via fax at 925-372-2804.

Location: 5505 Bordeaux Ct, Vallejo, CA, 94591-6308
person
Provider Profile Details
NPI Number
1104854728
Provider Name
Mervyn Bertrand Nicholas
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5505 Bordeaux Ct, Vallejo, CA, 94591-6308
Phone Number
707-980-0372
Fax Number
925-372-2804
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5505 Bordeaux Ct
City
State
Zip
94591-6308
Phone Number
707-980-0372
Fax Number
925-372-2804
person
Provider Business Mailing Address Details
Address
5505 Bordeaux Ct
City
State
Zip
94591-6308
Phone Number
707-980-0372
Fax Number
925-372-2804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15023 (California)
Definition
Definition to come...
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