Individual
SHANELLE JOY GOROSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1092 GRAND CYN, BREA, CA 92821-2619
(562) 533-0148
Mailing address
1092 GRAND CYN, BREA, CA 92821-2619
(562) 533-0148
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8900
CA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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