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Individual

JAMIE A NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. SLP-CCC

Contact information

Practice address
41689 ENTERPRISE CIR N, SUITE 118, TEMECULA, CA 92590-5630
(951) 541-0615
(951) 332-9498
Mailing address
41689 ENTERPRISE CIR N, SUITE 118, TEMECULA, CA 92590-5630
(951) 541-0615
(951) 332-9498

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP12646
CA

Other

Enumeration date
06/04/2009
Last updated
02/08/2011
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