Individual
MEGAN SIERA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26720 YNEZ CT, TEMECULA, CA 92591-4659
(951) 813-4034
Mailing address
26720 YNEZ CT, TEMECULA, CA 92591-4659
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106S00000X
CA
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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