Individual
MRS. ELEANA MARIA IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N 4TH ST APT 130, MONTEBELLO, CA 90640-3609
(917) 915-5939
Mailing address
501 N 4TH ST APT 130, MONTEBELLO, CA 90640-3609
(917) 915-5939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18568
CA
Other
Enumeration date
02/24/2010
Last updated
05/04/2011
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