Individual
KELLY JASMINE MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12304 SANTA MONICA BLVD STE 364, LOS ANGELES, CA 90025-1542
(563) 130-3710
Mailing address
4816 W 111TH ST, INGLEWOOD, CA 90304-2133
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5622
CA
Other
Enumeration date
09/20/2023
Last updated
11/20/2023
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