Individual
LLANEN VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4642 JURUPA AVE, RIVERSIDE, CA 92506-1946
(714) 989-9579
Mailing address
4642 JURUPA AVE, RIVERSIDE, CA 92506-1946
(714) 989-9579
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 3457
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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