Individual
MS. HAYLIE LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25102 JEFFERSON AVE STE D, MURRIETA, CA 92562-1708
(951) 461-1190
Mailing address
31395 CORTE MALLORCA, TEMECULA, CA 92592-6400
(951) 750-0846
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6487
CA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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