Individual
NICOLE MARIE CONDE BRENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6549 MISSION GORGE RD # 3018, SAN DIEGO, CA 92120-2306
(619) 693-6346
Mailing address
6549 MISSION GORGE RD # 3018, SAN DIEGO, CA 92120-2306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
05/26/2026
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