Individual
DANA SANDUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 FOUNTAIN ST, CAMARILLO, CA 93012-7723
(805) 402-0752
Mailing address
3831 FOUNTAIN ST, CAMARILLO, CA 93012-7723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21213
CA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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