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1215447719
NICKISHIA A ORTIZ
DOWNEY, CA
NPI
1215447719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1252210517)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
NICKISHIA A ORTIZ
11500 PARAMOUNT BLVD
DOWNEY, CA 90241-4530
Phone number: 562-923-4545
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Mailing Address
NICKISHIA A ORTIZ
3030 MONTROSE AVE
LA CRESCENTA, CA 91214-3641
Phone number: 424-644-4855
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