Individual
BRANDI PLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23073 MONTALVO RD, MORENO VALLEY, CA 92557-3511
(951) 243-2762
Mailing address
23073 MONTALVO RD, MORENO VALLEY, CA 92557-3511
(951) 243-2762
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA3298
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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