Individual
MS. NICOLE LETIECQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4515
(310) 763-8909
Mailing address
117 MONTEREY BLVD, HERMOSA BEACH, CA 90254-5143
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1899
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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