Individual
ALFRED AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9339 SYLMAR AVE APT 29, PANORAMA CITY, CA 91402-6914
(818) 437-7841
Mailing address
9339 SYLMAR AVE APT 29, PANORAMA CITY, CA 91402-6914
(818) 437-7841
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F5170424
WORK
CA
Enumeration date
01/20/2023
Last updated
01/20/2023
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