Individual
MISS BROOKE MALES KOSCHEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28991 OLD TOWN FRONT ST STE 101, TEMECULA, CA 92590-2858
(516) 477-4041
Mailing address
41603 EAGLE POINT WAY, TEMECULA, CA 92591-7950
(516) 477-4041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
458885101
NY
Other
Enumeration date
04/14/2011
Last updated
01/23/2019
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