TIM MCNICOLL MD INC
Marriage and Family Therapists at Sycamore Dr, Simi Valley, CA

License number
California G48100
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: TIMOTHY J MCNICOLL MD
Title: PRESIDENT/OWNER
Phone: (805) 527-6424
Address
Address
2876 Sycamore Dr SUITE 101, Simi Valley, CA 93065
National Provider ID: 1144475864
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIM MCNICOLL, M.D., INC

2876 Sycamore Dr #101, Simi Valley, CA 93065

Registration:
Nov 14, 2000
State ID:
C2320020
Business type:
Articles of Incorporation
President:
Timothy John Mcnicoll (President)

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