Nico Tank

NPI #1114433927 in La Puente, California

Provider Information

NPI Number
1114433927
Entity Type
Individual
Name
Nico Tank
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 18, 2017
Last Updated
Dec 18, 2017

Practice Location

Address
15229 AMAR RD
ZIP Code
91744-2066
Phone
(626) 855-5090

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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