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Individual

SOVANNA SIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2025 E DAKOTA AVE APT 127, FRESNO, CA 93726-4804
(559) 917-5179
Mailing address
3025 E UNIVERSITY AVE, FRESNO, CA 93703-3163
(559) 917-5179

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6407
CA

Other

Enumeration date
03/21/2025
Last updated
03/21/2025
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