Individual
MADISON M WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
(510) 468-3506
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
(510) 468-3506
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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