Individual
CHRISTIAN NAKANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, MSCP
Contact information
Practice address
1901 CARNEGIE AVE STE 1C, SANTA ANA, CA 92705-5504
(714) 848-8319
(714) 596-6274
Mailing address
1901 CARNEGIE AVE STE 1C, SANTA ANA, CA 92705-5504
(714) 848-8319
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-14616
HI
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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