Individual
MR. NICHOLAS ANTHONY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 GREEN VALLEY CIR STE 467, CULVER CITY, CA 90230-6952
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6111
CA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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