Individual
MARIAH PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E MERCED AVE STE E, WEST COVINA, CA 91790-5058
(323) 426-6402
Mailing address
1080 S LA CIENEGA BLVD STE 208, LOS ANGELES, CA 90035-2680
(323) 426-6402
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 2300
CA
Other
Enumeration date
07/15/2013
Last updated
03/19/2025
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