Individual
KANDACE SAMAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1996
Mailing address
6800 BROCKTON AVE, RIVERSIDE, CA 92506
(951) 779-1966
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6974
CA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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