Individual
MRS. PRUDENCE JAYE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9606 TIERRA GRANDE ST STE 107, SAN DIEGO, CA 92126-6501
(858) 695-9415
Mailing address
4001 ACACIA AVE, BONITA, CA 91902-2527
(619) 316-9541
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
977
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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