Individual
MS. DERIAH RAQUEL CABICO MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 ARTESIA BLVD STE 107, REDONDO BEACH, CA 90278-3412
(424) 275-9968
Mailing address
1200 S NEVEEN LN, ANAHEIM, CA 92804-4770
(714) 348-8165
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3399
CA
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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