Individual
AURA LEE AH KIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 S TIPPECANOE AVE, SAN BERNARDINO, CA 92408-2920
(909) 799-3777
Mailing address
3882 STRAND WAY, PERRIS, CA 92571-7327
(510) 213-4066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18443
CA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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