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Individual

BRUCE NIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
12440 EAST NORWALK BOULEVARD, SUITE 3020, NORWALK, CA 90650-9331
(562) 864-7821
(562) 864-7864
Mailing address
12440 EAST NORWALK BOULEVARD, SUITE 3020, NORWALK, CA 90650-9331
(562) 864-7821
(562) 864-7864

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT37762
CA

Other

Enumeration date
12/28/2015
Last updated
12/28/2015
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