Individual
IVETTE OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13080 PACIFIC PROMENADE, #213, PLAYA VISTA, CA 90094
(310) 210-3190
Mailing address
13080 PACIFIC PROMENADE, #213, PLAYA VISTA, CA 90094
(310) 210-3190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP16086
CA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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