Individual
JENNA RETANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
8699 HOLDER ST, BUENA PARK, CA 90620-3614
(714) 821-3620
Mailing address
8699 HOLDER ST, BUENA PARK, CA 90620-3699
(714) 821-3620
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7148
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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