Individual
CLARISSA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
707529
CA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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