Individual
HARDELL VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3521 LOMITA BLVD STE 201, TORRANCE, CA 90505-5040
(310) 856-8528
Mailing address
4727 W 147TH ST UNIT 121, LAWNDALE, CA 90260-1304
(310) 968-3353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11031
CA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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