Individual
GENESIS MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., SLPA
Contact information
Practice address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
Mailing address
2425 E COMMONWEALTH AVE, FULLERTON, CA 92831-4304
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9905
CA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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