Individual
MADELINE TAMPUBOLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13192 LAMBRUSCO CT, RANCHO CUCAMONGA, CA 91739-9414
(909) 549-0561
Mailing address
13192 LAMBRUSCO CT, RANCHO CUCAMONGA, CA 91739-9414
(909) 549-0561
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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