Individual
ALISE STAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14501 MAGNOLIA ST, SUITE 104, WESTMINSTER, CA 92683-1306
(714) 891-0080
Mailing address
14501 MAGNOLIA ST, SUITE 104, WESTMINSTER, CA 92683-1306
(714) 891-0080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10837
CA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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