Individual
GLENICE FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 WESTWOOD RD, VISTA, CA 92083-5123
(760) 630-2273
Mailing address
2000 WESTWOOD RD, VISTA, CA 92083-5123
(760) 630-2273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13437
CA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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