Individual
DAVINA SIMANTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 WILSHIRE BLVD, #785, SANTA MONICA, CA 90403-4803
(310) 264-8300
(310) 264-8360
Mailing address
2811 WILSHIRE BLVD, #785, SANTA MONICA, CA 90403-4803
(310) 264-8300
(310) 264-8360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 24163
CA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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