Individual
AVINASH MIRLE CHANDRASHEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 DARBREAK DR, APT C, EASTVALE, CA 91752
(209) 322-6092
Mailing address
5725 DAYBREAK DR APT C, EASTVALE, CA 91752-6687
(209) 322-6092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 22570
CA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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