Individual
ALYSSA ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2129 PEONY ST, CORONA, CA 92882-7338
(951) 255-6677
Mailing address
2129 PEONY ST, CORONA, CA 92882-7338
(951) 255-6677
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA4369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00114421282
KAISER PERMANENTE
CA
Enumeration date
06/28/2017
Last updated
07/21/2022
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