Individual
MS. DIANA RIDOLOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11990 STONEY PEAK DR, SAN DIEGO, CA 92128-5402
(619) 800-2517
Mailing address
11990 STONEY PEAK DR APT 1106, SAN DIEGO, CA 92128-6481
(209) 406-7619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
25271
CA
Other
Enumeration date
05/22/2018
Last updated
09/16/2020
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