Individual
TRICIA JANE RIVERA DOMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 HUNTINGTON DR N, LOS ANGELES, CA 90032-1324
(323) 576-2938
Mailing address
923 N IVY LN, ANAHEIM, CA 92801-3431
(714) 234-5783
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9898
CA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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