Individual
AMANDA CLARISE CASTILLO LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
1409 PIEDMONT, IRVINE, CA 92620-3804
(949) 278-2068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5660
CA
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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