Amy Delene Nistor IMF

NPI 1497010268 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1497010268
Gender Female
Enumeration Date 07/09/2012
Last Updated 07/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3031 STANFORD RANCH RD
SUITE 2, #433
ROCKLIN CA, 95765-5554, US
Phone (916) 335-9043
Fax (916) 625-4286
Business Location
4921 HANSEN RD
LOOMIS CA, 95650-9321, US
Phone (916) 807-4136
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 61465
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According to our database, Mrs. Amy Delene Nistor IMF NPI is 1497010268, taxonomy code is 106H00000X and license number is 61465, license state is located at California. Amy Delene Nistor IMF physically located at 3031 Stanford Ranch Rd, Rocklin CA, 95765-5554. NPI Number Amy Delene Nistor IMF has the Individual type.

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1497010268 NPI number is provided on an as is basis without warranty of any kind. 1497010268 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Delene Nistor IMF are for informational purposes only.