Individual
DANETTE ALISA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 PACIFIC OAKS RD APT 202, GOLETA, CA 93117-2936
(925) 348-7997
Mailing address
225 PACIFIC OAKS RD APT 202, GOLETA, CA 93117-2936
(925) 348-7997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7656
CA
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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