Individual
AIZEL AGUSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10191 DRUMCLIFF AVE, SAN DIEGO, CA 92126-3630
(619) 339-5928
Mailing address
10191 DRUMCLIFF AVE, SAN DIEGO, CA 92126-3630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26416
CA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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