NICOLE THERESE BRAZELL

MODESTO, CA
NPI1437495108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  33087)
Enumeration Date2012-12-27
Last Update Date2012-12-27
Business Address
-- NICOLE THERESE BRAZELL lpt
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 559-789-6665
Mailing Address
-- NICOLE THERESE BRAZELL lpt
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 559-789-6665
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