Individual
CARRIE POPTELECAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4476
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9507
CA
Other
Enumeration date
04/11/2007
Last updated
12/01/2021
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