Individual
LUCIAN GHIOALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. C.C.C.
Contact information
Practice address
39000 BOB HOPE DR, W-301, RANCHO MIRAGE, CA 92270-3221
(760) 341-3188
Mailing address
30 RYAN ST, REDLANDS, CA 92374-4117
(909) 872-1829
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 2344
CA
235Z00000X
Speech-Language Pathologist
SLP 12833
CA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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