Individual
MS. POOJA MAHADEVASWAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9020 BLAINE ST, JOINT BASE LEWIS MCCHORD, WA 98433-1219
(253) 583-5250
Mailing address
706 N DIAMOND BAR BLVD STE B, DIAMOND BAR, CA 91765-1059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61458761
WA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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