Individual
ERIN GENNUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 E BULLARD AVE, FRESNO, CA 93710-5864
(559) 970-8277
Mailing address
7505 E ESCALON AVE, CLOVIS, CA 93619-9291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11370
CA
Other
Enumeration date
03/20/2017
Last updated
04/19/2021
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