JEANETTE IDA NICOLAS

SYLMAR, CA
NPI1043539612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-05-21
Last Update Date2010-05-21
Business Address
-- JEANETTE IDA NICOLAS
13741 FOOTHILL BLVD STE 270
SYLMAR, CA 91342-3150
Phone number: 818-833-9789
Mailing Address
-- JEANETTE IDA NICOLAS
13741 FOOTHILL BLVD STE 270
SYLMAR, CA 91342-3150
Phone number: 818-833-9789
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