Individual
GISSELLA NAKASONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-6373
(323) 361-2801
Mailing address
4455 VENTURA CANYON AVE, #305, SHERMAN OAKS, CA 91423-3766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19222
CA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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