NICOLE GOODRUM

ENCINO, CA
NPI1447685862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: CA  CFY8263)
Enumeration Date2013-09-04
Last Update Date2013-09-04
Business Address
NICOLE GOODRUM
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
Mailing Address
NICOLE GOODRUM
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: