Individual
MRS. CARRIE LYNN RAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 24TH ST UNIT 3, SANTA MONICA, CA 90404-1329
(323) 370-9700
Mailing address
1235 24TH ST UNIT 3, SANTA MONICA, CA 90404-1329
(323) 370-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP33089
CA
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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