Individual
AMANDA KUNG LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13079 VAN NUYS BLVD, PACOIMA, CA 91331-2575
(818) 206-3353
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
(818) 206-3353
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7627
CA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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