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Individual

MS. GHIA FERNANDEZ SIMBULAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
110 41ST ST, OAKLAND, CA 94611-5250
(510) 597-6700
Mailing address
726 SANTA CLARA AVE, ALAMEDA, CA 94501-3318
(510) 521-6041

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23027
CA

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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