Individual
JEANINE CRISTAL MEDRANO-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S HAVEN AVE, ONTARIO, CA 91761-2969
(909) 390-1313
Mailing address
1500 S HAVEN AVE, ONTARIO, CA 91761-2969
(909) 390-1313
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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