Individual
JULIE NIVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7755 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2867
Mailing address
8634 CATABA RD, HESPERIA, CA 92344-9721
(760) 980-4019
(909) 580-2165
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35778
CA
Other
Enumeration date
11/04/2013
Last updated
12/09/2024
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