Individual
GABRIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2849 E VIA TERRANO, ONTARIO, CA 91764-6557
(704) 502-1346
Mailing address
2849 E VIA TERRANO, ONTARIO, CA 91764-6557
(704) 502-1346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18331
CA
235Z00000X
Speech-Language Pathologist
4498
SC
Other
Enumeration date
07/16/2009
Last updated
03/19/2021
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