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Individual

LALECIA HEARN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19561 COLUMBINE AVE, RIALTO, CA 92377-4039
(909) 874-5755
Mailing address
19561 COLUMBINE AVE, RIALTO, CA 92377-4039
(909) 874-5755

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1108
CA
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
1108
CA

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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