Individual
MISS GRACE HUELGAS CAPUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
8265 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730-7671
(909) 373-1641
(909) 481-7657
Mailing address
1144 E LOMITA AVE, GLENDALE, CA 91205-1332
(818) 247-9716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15365
CA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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