Individual
MISS CHANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
16136 TOPIARY LN, FONTANA, CA 92336-5973
(909) 782-2763
Mailing address
710 S MYRTLE AVE # 645, MONROVIA, CA 91016-3423
(909) 782-2763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE-8754
CA
Other
Enumeration date
03/06/2014
Last updated
09/05/2023
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