Individual
EMILY VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12293 RIDGE CREST DR, YUCAIPA, CA 92399-1561
(909) 241-4673
Mailing address
12293 RIDGE CREST DR, YUCAIPA, CA 92399-1561
(909) 241-4673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23822
CA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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