Grimes, Nilda Santiago

Grimes, Nilda Santiago is an individual health care provider with primary practice located at 250 Cherry Lane Suite 110, Manteca CA 95337-4397. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Grimes, Nilda Santiago can be contacted via phone (209) 832-9508.

Contact Information

Primary practice address
250 Cherry Lane Suite 110 Manteca CA 95337-4397
Phone: (209) 832-9508
Fax: (209) 832-9508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 36368LMFT California

Profile Details

NPI number 1871655761
LBN Legal business name Grimes, Nilda Santiago
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871655761 NPPES
California Other 10952635 CAQH

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