Individual
MRS. ABIGAIL WADE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9606 TIERRA GRANDE ST STE 107, SAN DIEGO, CA 92126-6501
(858) 695-9415
(858) 695-9412
Mailing address
9606 TIERRA GRANDE ST STE 107, SAN DIEGO, CA 92126-6501
(858) 695-9415
(858) 695-9412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28653
CA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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