Individual
MARNIE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
933 S SUNSET AVE, WEST COVINA, CA 91790-3410
(310) 553-2695
Mailing address
933 S SUNSET AVE, WEST COVINA, CA 91790-3410
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355S0801X
—
CA
Enumeration date
12/01/2021
Last updated
12/01/2021
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