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Individual

MR. GERRICK FLOYD CHAN DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1565 BAILEY AVE, EDWARDS, CA 93523-1513
(760) 306-4991
Mailing address
17100 FOOTHILL AVE, NORTH EDWARDS, CA 93523-3533
(760) 769-4821

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP26493
CA

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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