Individual
NICOLE DEGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12411 SLAUSON AVE, WHITTIER, CA 90606-2835
(562) 693-5449
Mailing address
12511 VALENCIA ST, CERRITOS, CA 90703-7742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5338
CA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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