Individual
MICHELLE SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11304 DEVINE CIR, RIVERSIDE, CA 92503-5897
(951) 643-9915
Mailing address
11304 DEVINE CIR, RIVERSIDE, CA 92503-5897
(951) 643-9915
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6132
CA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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