Individual
MATIAS MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 N LA BREA AVE, INGLEWOOD, CA 90302-2207
(310) 491-1479
Mailing address
3831 SNOWDEN AVE, LONG BEACH, CA 90808-2228
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6223
CA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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