Individual
MIA FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
(714) 529-5016
Mailing address
4902 CHARLENE CIR APT 3, HUNTINGTON BEACH, CA 92649-3541
(562) 235-5672
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5268
CA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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