Individual
SANDRA JOHANNA ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 N VERDUGO RD, GLENDALE, CA 91208-1641
(323) 447-8025
Mailing address
301 W LORAINE ST UNIT 11, GLENDALE, CA 91202-1770
(323) 447-8025
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA4887
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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