Individual
AMY MARISSA TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5703 OBERLIN DR STE 202, SAN DIEGO, CA 92121-1743
(760) 205-1011
Mailing address
542 MANZANITA ST, CHULA VISTA, CA 91911-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27984
CA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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