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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871655761 | NPPES |
California | Other | 10952635 | CAQH |
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