Individual
SOPHIA GABRIELLE MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1966
Mailing address
19146 TRAIL RIDE CT, PERRIS, CA 92570-6537
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
10410
CA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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