Individual
DEANA VIAENE-WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
45159 VINE CLIFF ST, TEMECULA, CA 92592-5515
(951) 553-3558
Mailing address
45159 VINE CLIFF ST, TEMECULA, CA 92592-5515
(951) 553-3558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 11104
CA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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