California Spectrum Services

NPI 1154689883 - Psychologist - 103T00000X

NPI Details
NPI 1154689883
Enumeration Date 05/01/2012
Last Updated 02/18/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NICANOR STEVEN NICANOR
Position DOCTOR
Phone (661) 634-0789
Fax (888) 886-4071
Practice Location
841 MOHAWK ST STE 120
BAKERSFIELD CA, 93309-1506, US
Phone (661) 634-0789
Fax (888) 886-4071
Business Location
841 MOHAWK ST STE 120
BAKERSFIELD CA, 93309-1506, US
Phone (661) 634-0789
Fax (888) 886-4071
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number 22047
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According to our database, California Spectrum Services NPI is 1154689883, taxonomy code is 103T00000X and license number is 22047, license state is located at California. California Spectrum Services physically located at 841 Mohawk St Ste 120, Bakersfield CA, 93309-1506. NPI Number 1033115704 has the healthcare provider type.

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1154689883 NPI number is provided on an as is basis without warranty of any kind. 1154689883 is maintained by the National Plan & Provider Enumeration System. The contents of California Spectrum Services are for informational purposes only.