Individual
KIMBERLY MICHELLE CHAGOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA, B.A.
Contact information
Practice address
26623 PLACENTIA AVE, PERRIS, CA 92571-7302
(323) 861-9824
Mailing address
26623 PLACENTIA AVE, PERRIS, CA 92571-7302
(323) 861-9824
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5179
CA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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