Individual
BAMBI BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17562 GLADESWORTH LN, CANYON COUNTRY, CA 91387-3807
(661) 607-4869
Mailing address
17562 GLADESWORTH LN, CANYON COUNTRY, CA 91387-3807
(661) 607-4869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
2355S0801X
Speech-Language Assistant
SPA
CA
Other
Enumeration date
01/28/2020
Last updated
04/01/2025
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