Individual
ALISA TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 PINTO LANE, NORCO, CA 92860-2720
(951) 520-5944
Mailing address
2440 PINTO LN, NORCO, CA 92860-2720
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
CA
235Z00000X
Speech-Language Pathologist
—
CA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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