Individual
AVA SWANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 ANDERSON ST, LOMA LINDA, CA 92350-1729
(909) 558-8577
Mailing address
11130 ANDERSON ST, LOMA LINDA, CA 92350-1729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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