Individual
AUDREY KIM CHUA DY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3521 LOMITA BLVD STE 201, TORRANCE, CA 90505-5040
(310) 856-8528
Mailing address
17032 SIMS LN APT A, HUNTINGTON BEACH, CA 92649-4398
(909) 702-8881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12453
CA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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