Individual
TERESA DIANE MURO-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(909) 724-2288
Mailing address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(909) 724-2288
(909) 724-2344
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
482
CA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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