GRACE NICCUM

SAN RAFAEL, CA
NPI1710866991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2025-09-01
Last Update Date2025-09-01
Business Address
GRACE NICCUM CCC-SLP
1400 2ND ST APT B
SAN RAFAEL, CA 94901-2774
Phone number: 831-252-1775
Mailing Address
GRACE NICCUM CCC-SLP
1400 2ND ST APT B
SAN RAFAEL, CA 94901-2774
Phone number: 831-252-1775