Individual
GINA MADROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 MILLER WAY, PLACERVILLE, CA 95667-4716
(909) 200-9444
Mailing address
2921 MILLER WAY, PLACERVILLE, CA 95667-4716
(909) 200-9444
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2928
CA
235Z00000X
Speech-Language Pathologist
Primary
26178
CA
Other
Enumeration date
03/14/2015
Last updated
08/13/2021
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