Individual
LESLIE JANNET FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 HOPE ST, HUNTINGTON PARK, CA 90255-6219
(323) 867-5103
Mailing address
3721 HOPE ST, HUNTINGTON PARK, CA 90255-6219
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2316
CA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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