Individual
MR. ANTHONY STEVEN YZAGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12555 REDSTONE CIR, YUCAIPA, CA 92399-2165
(909) 936-6884
Mailing address
12555 REDSTONE CIR, YUCAIPA, CA 92399-2165
(909) 936-6884
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5787
CA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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