Individual
NIKI DEAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 E 4TH ST STE 230, SANTA ANA, CA 92701-5136
(714) 494-7551
Mailing address
13079 VAN NUYS BLVD, PACOIMA, CA 91331-2575
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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