Individual
BONNIE LENNARD BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12225 DOROTHY ST, LOS ANGELES, CA 90049-5220
(310) 207-8480
(310) 442-3610
Mailing address
12225 DOROTHY ST, LOS ANGELES, CA 90049-5220
(310) 207-8480
(310) 442-3610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14531
CA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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