Individual
MRS. GLORIA D. HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPA 2515
Contact information
Practice address
12411 SLAUSON AVE STE H, WHITTIER, CA 90606-2835
(562) 693-5449
Mailing address
8851 STOAKES AVE, DOWNEY, CA 90240-2357
(562) 806-2642
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 2515
CA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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