Individual
FUNDY M PIERRE-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
12139 MOUNT VERNON AVE STE 110, GRAND TERRACE, CA 92313-5500
(909) 883-5069
Mailing address
12139 MT VERNON AVE, SUITE 110, GRAND TERRACE, CA 92313
(909) 883-5069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24829
CA
Other
Enumeration date
01/25/2017
Last updated
07/21/2022
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