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Individual

JERSSON NIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 W METROPOLITAN DR STE 404, ORANGE, CA 92868-3504
(714) 645-8045
Mailing address
4000 W METROPOLITAN DR STE 404, ORANGE, CA 92868-3504
(714) 645-8045

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131869
CA

Other

Enumeration date
08/29/2023
Last updated
10/28/2025
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