NICHOLE THERESA GAINES

YUCCA VALLEY, CA
NPI1588337810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101Y00000X Counselor
(Licence: CA  101Y00000X)
Enumeration Date2021-08-02
Last Update Date2021-08-12
Business Address
NICHOLE THERESA GAINES
58923 BUSINESS CENTER DR STE E
YUCCA VALLEY, CA 92284-7311
Phone number: 760-848-8480
Mailing Address
NICHOLE THERESA GAINES
58923 BUSINESS CENTER DR STE E
YUCCA VALLEY, CA 92284-7311
Phone number: 760-848-8480