Individual
SHELBY ELIZABETH WINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(855) 901-7742
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4809
CA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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