Individual
NIKKI DIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 13TH ST # 108, MODESTO, CA 95354-2437
(209) 884-2424
Mailing address
7318 INGLEWOOD AVE, STOCKTON, CA 95207-2713
(209) 451-8022
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9399
CA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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