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Individual

BIANCA HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6401 RIVERTON AVE APT 204, NORTH HOLLYWOOD, CA 91606-2788
(424) 247-3817
Mailing address
6401 RIVERTON AVE APT 204, NORTH HOLLYWOOD, CA 91606-2788
(424) 247-3817

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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