Individual
ALISHA MARIE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N MOUNTAIN AVE STE A201, UPLAND, CA 91786-4368
(909) 271-2175
Mailing address
20187 ITASCA RD, APPLE VALLEY, CA 92308-6291
(714) 443-1320
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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