Individual
MR. CARL LEXCILLE C. NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 W ALLUVIAL AVE, CLOVIS, CA 93611-6716
(559) 323-6200
Mailing address
2107 MAYFAIR DR W, FRESNO, CA 93703-2312
(323) 346-5196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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