Individual
AMY KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 LOMA VERDE ST, MONTEREY PARK, CA 91754-4818
(626) 388-5104
Mailing address
4210 VIA ARBOLADA UNIT 314, LOS ANGELES, CA 90042-5124
(213) 559-7977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19507
CA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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