Individual
GRACIELA VIDUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9530 IMPERIAL HWY STE K, DOWNEY, CA 90242-3041
(310) 553-2695
Mailing address
6451 CROSSWAY DR, PICO RIVERA, CA 90660-3453
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6293
CA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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