Nicole Bain, LE
Nicole Bain, LE is a Specialist in Elk Grove, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
9117 E Stockton Blvd Unit 100 Ste 19Elk Grove, CA 95624
Phone: (209) 294-0634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence L9771 (CA) |
|---|
Record details
| NPI number | 1588387369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LE |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2022 |
| Last updated in NPPES | May 23, 2024 |
| Certification date | May 23, 2024 |
| Mailing address | 2256 Heavenly Way, Lodi, CA 95242-4490 |
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