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Lamar Ray Nicholson
Attendant Care Provider in Adelanto, California
NPI 1891380705

Lamar Ray Nicholson is an Attendant Care Provider based in Adelanto, CA and is specialized in Attendant Care Provider. Lamar Ray Nicholson practices in Adelanto, CA. The NPI Number for Lamar Ray Nicholson is 1891380705 and holds a License No. (California).

The current practice location address for Lamar Ray Nicholson is 10478 Thorndale St, Adelanto, CA and can be reached out via phone at 909-730-5136.

Location: 10478 Thorndale St, Adelanto, CA, 92301-4887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891380705
Provider Name
Lamar Ray Nicholson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10478 Thorndale St, Adelanto, CA, 92301-4887
Phone Number
909-730-5136
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10478 Thorndale St
City
Adelanto
State
California
Zip
92301-4887
Phone Number
909-730-5136
Fax Number
person
Provider Business Mailing Address Details
Address
10478 Thorndale St
City
Adelanto
State
California
Zip
92301-4887
Phone Number
909-730-5136
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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