Individual
ERIKA BLANCQ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18726 S WESTERN AVE STE 204, GARDENA, CA 90248-3813
(310) 352-6405
(310) 356-3682
Mailing address
14072 MARBELLA ST, FONTANA, CA 92336-3866
(626) 376-2187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15560
CA
Other
Enumeration date
12/11/2013
Last updated
12/02/2021
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