Organization
DEL SUR SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN NEVARES CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(619) 952-9130
Entity
Organization
Contact information
Practice address
8395 KATHERINE CLAIRE LN, SAN DIEGO, CA 92127-4107
(619) 952-9130
Mailing address
8395 KATHERINE CLAIRE LN, SAN DIEGO, CA 92127-4107
(619) 952-9130
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SP15599
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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