Individual
MRS. ANDREA FANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
1125 S BEVERLY DR STE 610, LOS ANGELES, CA 90035-1182
(310) 740-1830
Mailing address
1125 S BEVERLY DR STE 610, LOS ANGELES, CA 90035-1182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22850
CA
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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