Individual
MS. MAYRA CELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6180 BROCKTON AVE STE 102, RIVERSIDE, CA 92506-2259
(951) 684-6500
Mailing address
15581 NADIA ST, MORENO VALLEY, CA 92551-6918
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2112
CA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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