Individual
NICOLE LESLIE PIQUANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
Mailing address
1525 N ALVARADO STREET, #26214, LOS ANGELES, CA 90026
(646) 407-8469
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030528
CA
Other
Enumeration date
09/30/2024
Last updated
12/12/2024
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