Individual
EDELWEISS PANDJAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
(909) 342-6411
Mailing address
10431 COMMERCE ST STE A, REDLANDS, CA 92374-0110
(909) 735-7654
(909) 342-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17478
CA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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