Arizona
Board of Licensing
Cameron Lake Nichols PA
Physician Assistant
License number
4598
Date granted
02/04/2010
Class
Physician Assistant
Status
Active
Address
Blackridge Medical Center, Llc, 2438 Lillie Ave., Kingman AZ 86401
arizonalicensing.com
ID 22725689
LAST UPDATED 2024-04-28 14:55:34 UTC
LAST UPDATED 2024-04-28 14:55:34 UTC