Individual
ERICA WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2673 MANGROVE WAY, RIVERSIDE, CA 92506-5127
(503) 710-8080
Mailing address
2673 MANGROVE WAY, RIVERSIDE, CA 92506-5127
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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