Individual
DANIELLE CHERIE MAE DEFOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7195 ORCHARD ST, RIVERSIDE, CA 92504-3958
(951) 675-4504
Mailing address
7195 ORCHARD ST, RIVERSIDE, CA 92504-3958
(951) 675-4504
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7931
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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