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Individual

MEHA TAILOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17461 DERIAN AVE STE 114, IRVINE, CA 92614-5820
(949) 788-9236
Mailing address
43 OLIVEHURST, IRVINE, CA 92602-0936
(510) 861-3429

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA1304
CA

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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