Individual
JESSICA ROSIBETH CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
12411 SLAUSON AVE STE G, WHITTIER, CA 90606-2835
(562) 693-5469
Mailing address
808 PARKCENTER DR APT 70, SANTA ANA, CA 92705-3581
(323) 835-3481
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1372
CA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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