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Individual

BRANDON INOSTROZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SLPA

Contact information

Practice address
2851 S LA CADENA DR SPC 56, COLTON, CA 92324-3811
(909) 362-6344
Mailing address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6481
CA

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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