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Nicole Maxwell

Community Health Worker in Palmdale, CA. Individual provider (NPI-1).

NPI number1316632763
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1316632763
Entity type
Individual (NPI-1)
Name
Nicole Maxwell
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2023
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1529 E Palmdale Blvd Ste 330
Palmdale, CA 93550-2030

Phone 661-575-1800

Mailing address

2330 E Avenue J8 Spc 58
Lancaster, CA 93535-5672

Phone 310-803-0896

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