Individual
FAMIDA VANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3207
(909) 881-2679
(909) 881-2670
Mailing address
1063 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3207
(909) 881-2679
(909) 881-2670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21422
CA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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