Individual
ALEEZA ANNE OBUSAN CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
2590 REDHILL AVE UNIT 5143, SANTA ANA, CA 92705-5576
(808) 599-0588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35578
CA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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