Individual
MARIANNA CHAIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
661 W 1ST ST, SUITE E, TUSTIN, CA 92780-2939
(714) 838-2853
Mailing address
661 W 1ST ST, SUITE E, TUSTIN, CA 92780-2939
(714) 838-2853
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3975
CA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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