Individual
VANESSA MARIE SHOUKRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 W ADAMS BLVD, LOS ANGELES, CA 90018-3515
(310) 553-2695
Mailing address
1968 W ADAMS BLVD, LOS ANGELES, CA 90018-3515
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5007
CA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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