Individual
BRENDA JANETTE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 E OLIVE AVE, MONROVIA, CA 91016-3407
(626) 355-1729
Mailing address
6026 MARLATT ST, JURUPA VALLEY, CA 91752-2605
(951) 907-2231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
09/22/2020
Last updated
07/19/2024
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