Individual
CASSANDRA IMPERIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 E RUMBLE RD, MODESTO, CA 95350-2460
(209) 549-6106
Mailing address
1113 E RUMBLE RD, MODESTO, CA 95350-2460
(209) 549-6106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36293
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/11/2019
Last updated
12/13/2024
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