Individual
DANICA MELISSA HERTZIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4458 4TH ST # 4C, LA MESA, CA 91941-6541
(951) 858-6568
Mailing address
4458 4TH ST # 4C, LA MESA, CA 91941-6541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18791
CA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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