Individual
MAUREEN LARREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5373
CA
Other
Enumeration date
02/21/2018
Last updated
01/30/2019
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