Individual
SHELBIE BURDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 CENTRAL AVE, RIVERSIDE, CA 92507-0224
(951) 500-4698
Mailing address
990 CENTRAL AVE, RIVERSIDE, CA 92507-0224
(951) 500-4698
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 2653
CA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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