Individual
CARISSA NICOLE NATION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5945 BROCKTON AVE, RIVERSIDE, CA 92506-1800
(951) 779-1966
(951) 779-1933
Mailing address
5945 BROCKTON AVE, RIVERSIDE, CA 92506-1800
(951) 779-1966
(951) 779-1933
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2033
CA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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