NICOLE WAKUS

LOS ANGELES, CA
NPI1598884264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: CA  IMF 49469)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- NICOLE WAKUS
711 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1831
Phone number: 213-385-5100
Mailing Address
-- NICOLE WAKUS
17 PARK AVE APT 4
VENICE, CA 90291-3245
Phone number:
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