Individual
SAMANTHA GRACE DEFRAITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28212 KELLY JOHNSON PKWY STE 200, VALENCIA, CA 91355-5090
(818) 501-8352
Mailing address
28212 KELLY JOHNSON PKWY, VALENCIA, CA 91355-5084
(818) 501-8352
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7133
CA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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