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Individual

MISS JANELLE ANCHETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
5895 BALL RD, CYPRESS, CA 90630-3244
(714) 826-4957
Mailing address
9362 HOLDER ST, 38, CYPRESS, CA 90630-5864
(714) 875-4302

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2154
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902116916
MEDI-CAL
CA
Enumeration date
03/15/2013
Last updated
03/15/2013
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