Individual
EMILY JOAN GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
4909 MURPHY CANYON RD STE 310, SAN DIEGO, CA 92123-4301
(323) 377-5303
Mailing address
4909 MURPHY CANYON RD STE 310, SAN DIEGO, CA 92123-4301
(323) 377-5303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
12/30/2019
Last updated
12/30/2019
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