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Individual

IDALIA ESPINOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10441 WATERCRESS CIR, MORENO VALLEY, CA 92557-3054
(714) 322-4271
Mailing address
10441 WATERCRESS CIR, MORENO VALLEY, CA 92557-3054
(714) 322-4271

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3168
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2355S0801X
SLPA
CA
Enumeration date
04/20/2015
Last updated
04/20/2015
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