Individual
NICOLE MASCARENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14100 GLENGYLE ST, WHITTIER, CA 90604-2434
(562) 777-1222
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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