Individual
MRS. CHERYL GRACE SUBA DIRECTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(909) 451-8521
Mailing address
1555 DEERFOOT DR, DIAMOND BAR, CA 91765-2906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
25771
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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