Individual
NANCY NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2700 N MAIN ST STE 945, SANTA ANA, CA 92705-6678
(714) 542-1234
(714) 542-1234
Mailing address
1360 S ANAHEIM BLVD STE 150, ANAHEIM, CA 92805-6205
(714) 776-1231
(714) 776-0802
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5675
CA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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