Individual
NATALIE MERCEDES ANTONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W WHITTIER BLVD, MONTEBELLO, CA 90640-4642
(323) 726-8080
Mailing address
853 S MONTEBELLO BLVD, MONTEBELLO, CA 90640-5928
(323) 804-4132
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4006
CA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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