Individual
ELIZABETH NIETO PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 W 5TH ST #211, SANTA ANA, CA 92703
(714) 654-8356
Mailing address
4201 W 5TH ST APT 211, SANTA ANA, CA 92703-3290
(714) 654-8356
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
103K00000X
CA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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